Supervisory Financial Management Specialist - Facility Revenue Manager

Veterans Health Administration • Brockton, MA

2d • Onsite

About The Position

This position is located in a Consolidated Patients Account Center (CPAC) in the organization of the Deputy Director of Operations, serving as the Facility Revenue Manager (FRM) located on-site at a medical facility. The CPAC is a regionally consolidated business entity established to enhance revenue operations throughout the VHA network by consolidation of billing and collection activity supported by medical center based utilization review, data validation and customer service functions.

Requirements

• Must be a U.S. Citizen to apply for this job.
• Must complete all required steps in the process.
• Requires an online assessment that measures critical general competencies.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Acceptable forms of identification will be required to complete pre-employment requirements.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Must serve a 1-year probationary period or 2-year trial period.
• Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement.
• For a GS-09 position you must have served 52 weeks at the GS-07.
• For a GS-11 position you must have served 52 weeks at the GS-9.
• Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment.
• GS-09 Specialized Experience: One year of specialized experience equivalent to at least the next lower grade GS-07 in the normal line of progression for the occupation in the organization.
• GS-09 Specialized Experience Examples: Experience using qualitative and quantitative analytical methodologies sufficient to analyze trends and evaluate their significance to program effectiveness, providing authoritative policy interpretations on operating policies and procedures to advise subordinate staff and the public, Experience providing knowledge of the full range of health care support functions and operations, collections, registration, admission, scheduling, insurance identification and verification, pre-registration, utilization review, and financial reporting, Demonstrated understanding of several types of billing to communicate with patient advocates and different agencies on a variety of revenue-related items such as billing, revenue collections, and reimbursements, Experience providing knowledge of services provided at the medical center and outlying CBOCs, both administrative and clinical in nature.
• GS-11 Specialized Experience: One year of specialized experience equivalent to at least the next lower grade GS-9 in the normal line of progression for the occupation in the organization.
• GS-11 Specialized Experience Examples: Experience using a wide range of qualitative and quantitative analytical methodologies sufficient to analyze trends and evaluate their significance to program effectiveness, Experience providing authoritative policy interpretations on operating policies and procedures to advise subordinate staff and the public, Experience providing a broad knowledge of the full range of health care support functions and operations, collections, registration, admission, scheduling, insurance identification and verification, pre-registration, utilization review, and financial reporting, Demonstrated understanding of several types of billing to communicate with patient advocates and different agencies on a variety of revenue-related items such as billing, revenue collections, and reimbursements, Experience providing knowledge of services provided at the medical center and outlying CBOCs, both administrative and clinical in nature.
• Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Nice To Haves

• Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met.
• Telework eligibility will be discussed during the interview process.
• Relocation/Recruitment incentives: Not Authorized
• Critical Skills Incentive (CSI): Not Approved
• Permanent Change of Station (PCS): Not Authorized
• A pre-placement physical examination is not required.
• 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.
• 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.
• Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer.
• If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application.
• Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments.
• This job opportunity announcement may be used to fill additional vacancies.
• The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced VA competitive service employees with selection priority over other candidates for competitive service vacancies.
• To be well-qualified : applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors, and who are proficient in most of the required competencies of the job.

Responsibilities

• Monitors changes in Veteran eligibility that support the need to reset medications based on new service connection/special authority and/or means test changes where the Veteran is no longer medication copayment required.
• Monitors that Veterans are credited for prescriptions filled at facilities for the purpose of the yearly copayment cap by completing the Push Rx Copay Cap transaction.
• Monitors Held Charges and Days on Hold to ensure that copayments are released timely and appropriately.
• Reviews clinical information and obtains third-party insurer authorization for continuation of care and payment.
• Keeps abreast of clinical activities that have the potential to negatively affect revenue.

Benefits

• A career with the U.S. government provides employees with a comprehensive benefits package.
• As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.
• Learn more about federal benefits.
• Review our benefits
• Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.
• Contact the hiring agency for more information on the specific benefits offered.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level