The incumbent serves as an Advanced Medical Support Assistant (AMSA) in the Patient Benefits Department of of the Health Administration Service (HAS) at the VA Sierra Nevada Health Care System, Reno, Nevada. Extensive knowledge of Medical Center policies and directives is required to respond to inquiries from veterans staff and other agencies regarding applying for health care eligibility etc.
Work Schedule: Monday through Friday, tour of duty may vary depending upon agency needs Telework: Available - Ad-hoc Functional Statement #: 06793F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required The incumbent verifies eligibility and entitlement for benefits of all applicants using various methods including some income assessment military discharge documents Veterans Information Solution (VIS), Veterans Enrollment System (VES), Common Security Employee Manager (CSEM), Veterans Benefits Management System (VBMS) and other means of communication avenues to VA external entities.
The incumbent managers catastrophe disability and hardship requests. The process of verify eligibility is complex and criteria differ from each type of benefit applied for. The incumbent advises veterans of their entitlement of multiple medical benefits and discusses copayment requirements of Veterans discretionary categories. Tact, diplomacy, and privacy are required to explain complicated laws in this area.
The incumbent accurately generates patient data card requests for Veterans applying for care using the Veterans Identification Card (VIC) system, Veteran Health Identification Card (VHIC) system, and other systems as necessary. The incumbent reviews enrolled patient information to perform updates to health insurance data, income assessments, pharmacy co-pay exemptions as mandated by law.
Incumbent completes all assigned applications to ensure that Veterans are enrolled timely. The incumbent is responsible for monitoring the NEAR list and scheduling new patient appointments in accordance with VHA directives, established guidelines, and local policies. The incumbent will support the management information components of all health eligibility related programs.
The support includes not only entering data and information when necessary, but also reviewing reports, records and statistical computations for accuracy and propriety. Local input is compared with the Health Eligibility Center (HEC) in Atlanta, GA and will affect data entry for encounter entries that go to Austin for workload credit.
The incumbent(s) must review the Incomplete Encounter Management Module (IEMM) report to clean up any discrepancies in administrative data that would prevent the transmission of encounters. AMSAs are required to be certified by the HEC and must maintain their certification via mandatory continuing education as directed by the HEC.
Responsibilities of the incumbent (s) include meeting performance metrics, maintaining eligibility and enrollment process competencies, and current VA training in enrollment and eligibility processes. lncumbent (s) will assist the Public Affairs Office as well as other Services at VASNHCS with community activities such as Health Fairs, Homeless Veterans Stand Downs, and Post Deployment Health Re-assessment (PDHRA).
This may require staff to work outside the normal business hours to include weekends. Staff will be compensated by either compensation time or overtime for this work. AMSAs generate the patient data cards for Veterans applying for care using the Veterans Health Identification Card (VHIC) system. The incumbent(s) will be responsible for all aspects of Decedent Affairs to assist Veterans and their families with appropriate paperwork.
The incumbent(s) have frequent contact with funeral home staff to assist Veterans' families. The incumbent(s) will perform the enrollment and eligibility functions for the Emergency Department during regular tour hours. This includes enrolling Veterans at the point of service in the Emergency Department. The incumbent(s) must alert clinical staff when Humanitarian emergency patients are seen in the department.
They will enter the billing information for first and third-party reimbursement. They may occasionally be asked to assist with off tour duties in coordination with the Administrative Officers of the Day. The lncumbent (s) will perform all functions for the Beneficiary Travel office.
The Beneficiary Travel program provides transportation at Government expense to beneficiaries and their attendants traveling to and from VA facilities and other places for the purpose of examination, treatment, or care. This will include correctly determining eligibility for the program, and processing requests.
It will include correctly determining which of several fund control points to utilize, obligating funds, maintaining manual and electronic accounting records, performing regular reconciliations, and adjusting account balances. lncumbent (s) reviews requests for reimbursement of travel costs for the purpose of assuring compliance with regulations and procedures, completeness, accuracy, internal consistency, and agreement with basic authorization.
lncumbent (s) may be asked to perform duties in other areas of the Patient Benefits Department and other duties as assigned.
There is no education substitution at this grade level.
havel.respes@va.gov · 415-221-4810 X23728
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $58187 – $75642/yr.
This position requires a Other security clearance.
Applications close on 2026-09-09.
This position is open under the 'Public' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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