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Title : Claims Assistant - Department of Veterans Affairs - Big Spring, TX
link : Claims Assistant - Department of Veterans Affairs - Big Spring, TX

Claims Assistant - Department of Veterans Affairs - Big Spring, TX

Summary

About the Agency

OUR MISSION: To fulfill President Lincoln's promise: "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

The Department of Veterans Affairs (VA) needs employees who possess the energy, compassion, and commitment to serve those who served our Country. Whatever the job title, every position in VA will give you a chance to make a meaningful and personal contribution to the lives of truly special and deserving people - our Veterans. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. Working for VA is one of the most emotionally satisfying and professionally rewarding ways to dedicate the best within you to your Country's service. If you are transitioning from the military or a Veteran already, we invite you to explore the benefits of continuing your career at the VA. The VA is committed to hiring Veterans.

The VA is much more than just another employer. It is an honorable, open and welcoming community of those who care. Gratitude is our motivation and service is our mission.

The VA has adopted Core Values and Characteristics that apply universally across the Department. The five Core Values define "who we are," our culture, and how we care for Veterans, their families and other beneficiaries. The Values are Integrity, Commitment, Advocacy, Respect and Excellence ("I CARE"). America's Veterans need you!

Duties

There are two (2) positions is located in the Non VA Purchased Care Section of the VA Medical Center in Big Spring, TX.
MAJOR DUTIES AND RESPONSIBILITIES:

• Develops reports and gather data from a variety of sources to meet the standards required by management.
• Performs work involving the collection, compilation and/or tracking of data and statistical information in support of policy and procedures for rendering outpatient and inpatient care in the community.
• Communicates effectively with a diverse group of medical providers, RN team leaders, community case managers, and other clinic auxiliary staff.
• Provides relevant patient information to assist with the coordination of care and appointment scheduling within the community.
• Extracts information from various sources which will require consideration of the applicability of information and the characteristics and quality of sources.
• Plans, carries out the successive steps, handle problems and deviations in the work assignment in accordance with instructions, policies, procedures, previous training, or accepted practices in the occupation.

Work Schedule: Monday - Friday 8:00 a.m. - 4:30 p.m.
Recruitment & Relocation Incentives: Not authorized
Financial Disclosure Report: Not Required

Supervisory Status

No

Travel Required

• Not Required

Relocation Authorized

• No

Who May Apply

This job is open to…

United States Citizens Questions? This job is open to 1 group.

Job Requirements

Key Requirements

• Must be a U.S. citizen
• Subject to a background/security investigation
• Designated and/or random drug testing may be required
• Selective Service Registration is required for males born after 12/31/1959
• May be required to serve a probationary period.

Qualifications

TO QUALIFY FOR THIS POSITION YOU MUST MEET THE FOLLOWING CRITERIA:
MINIMUM QUALIFICATIONS:
SPECIALIZED EXPERIENCE GS-05: At least one (1) year of specialized experience that equipped you with the knowledge, skills and abilities to perform successfully the duties of a Claims Assistant GS-5. To be creditable, specialized experience must have been equivalent to at least the GS-5 grade level in Federal service. Qualifying specialized experience includes: examining and processing a full range of medical claims and vouchers; verifying claims of payments or reimbursements; interpreting medical terminology to ensure that claims are complete; analyzing medical claims utilizing medical coding; processing authorized medical claims from providers for services rendered; and using a variety of computer programs to develop spreadsheets and reports. (*If you answer yes to this question, your experience must be documented in your resume to receive full credit.)
OR
SUBSTITUTION OF EDUCATION FOR EXPERIENCE: Successfully completed four (4) years of education above the high school level in any field for which high school graduation or the equivalent is the normal prerequisite. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. (TRANSCRIPTS REQUIRED) One year of full-time graduate education is considered to be the number of credit hours that the school attended has determined to represent one (1) year of full-time study. If that number cannot be obtained from the school, 18 semester hours will be considered an academic year of graduate study. Part-time graduate education is creditable in accordance with its relationship to a year of full-time study at the school attended. (TRANSCRIPTS REQUIRED)
OR
COMBINATION OF EXPERIENCE AND EDUCATION: Equivalent combinations of education and specialized experience (as described above) to meet the requirements at the GS-5 grade level. (TRANSCRIPTS REQUIRED)

You will be rated on the following Competencies as part of the assessment questionnaire for this position:

• Communications
• Computer Skills
• Manages and Organizes Information

IMPORTANT: A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://ift.tt/1dO9mm4.

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

NOTE: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ift.tt/1bgzbPg. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://ift.tt/1fo0xnu.
PHYSICAL REQUIREMENTS: Work is sedentary but requires walking, standing and carrying of very light weight items, such as patient records. Employee works extensively in the hospital computer system. Employee must have an even temperament and act in a professional manner during work performance. The employee works with team members as well as various other facility personnel. The employee must work with patients that are occasionally irate, inebriated or mentally disturbed. The work is adequately lighted, heated and ventilated.

Security Clearance

Public Trust - Background Investigation

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