The incumbent serves as Advanced Medical Support Assistant, advising on health benefits, in the Eligibility and Enrollment Section at CTVHCS. The incumbent is primarily responsible for the intake and administrative processes for Veterans and beneficiaries applying for medical services at our Health Care System or to any of its Community Based Outpatient Clinics (CBOCs) and satellite clinics. Attention to detail is mandatory for the duties involved in this position.
Major duties include, but are not limited to: Incumbent interviews and registers applicants to determine eligibility and legal entitlement of applicants for health care, including assignment into the appropriate enrollment priority group. Applications may be received in person, by mail, by internet, by fax, or by referral from another VA facility.
Verifies eligibility using various methods, including income assessments, military discharge documents, hospital inquiry (HINQ), benefits delivery network (BON), Veteran information solutions (VIS), and other means such as communications with a VA Regional Office. Administers income assessments (means test). Advises and counsels Veterans and their beneficiaries or representatives of financial obligations, co-pay requirements, and their rights to appeal.
Deals with and resolves complex eligibility, co-pay, and insurance questions that arise. Displays adaptability in dealing with a wide range of individuals as necessary. Explains to each individual the specific conditions or actions that could affect their co-pay status or eligibility for benefits. Informs Veterans of their responsibility to report changes.
Incumbent is responsible for gathering, entering, and updating demographic, employment, insurance, and income verification into the Enrollment System (ES), Veteran Integrated Software Technology (VistA), and other related programs. Incumbent captures specific types of eligibility such as OEF/OIF/OND, Combat, Veteran, etc. Information may be gathered by mail, fax, internet, and/or in person.
The incumbent schedules all new patient appointments, to include new patient primary care appointments, lab appointments and orders, OEF/OIF/OND social work appointments, new patient orientation/education appointments, and phone or video appointments if required. This also requires answering phones that are on an Automatic Call Distribution (ACD) system.
Work Schedule: Monday - Friday; 7:30am - 4:00pm or 8:30am - 4:30pm Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 50344 Permanent Change of Station (PCS): Not Authorized
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://ope.ed.gov/accreditation/. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application.
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $48807 – $63449/yr.
This position requires a Other security clearance.
Applications close on 2026-10-07.
This position is open under the 'Fed Competitive' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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