Program Support Assistant
3.
8 Orlando, FL Orlando, FL Full-time Full-time $42,022 - $54,625 a year $42,022 - $54,625 a year 2 days ago 2 days ago 2 days ago Duties RUR PSAs support the activities of clinical staff specific to the reimbursement cycle including precertification, continued stay, and clinical appeals/denials management.
Responsible for the verification of Third Party Payer (TPP) precertification requirements of Veterans' insurance coverage for inpatient, outpatient, prescription, Care in the Community (CIC) authorized medical care, and prosthetics services.
Responsible to decide whether to initiate pre-notification, notification, precertification or to pend medical care authorization requests as appropriate based on their individual review and judgement of each unique case.
Responsible for entering documentation of precertification activities according to established requirements in Claims Tracking.
Transcribe the determination into Claims Tracking (CT) for permanent record and select the applicable Reason Not Billable (RNB).
Work Schedule:
Mon - Friday 8:
00am - 4:
30pm Position Description Title/PD#:
Program Support Assistant/PD05206A Physical Requirements:
The work is primarily sedentary but may require some physical effort such as periods of standing, walking, sitting, or bending.
This position requires visual acuity, clear distinctive speech, and manual dexterity.
This position requires potentially long periods of continued sitting and computer use and typing.
The incumbent must be an individual capable of working effectively in stressful situations and able to shift priorities based on organizational needs.
Requirements Conditions of Employment You must be a U.
S.
citizen to apply for this job Subject to a background/suitability investigation May serve a probationary period Selective Service Registration is required for males born after 12/31/1959 A complete application package; Resume, Transcripts, etc.
Selected applicants will be required to complete an online onboarding process Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement.
GS-06 grade level:
One year of specialized experience (equivalent to the GS-05 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization.
Specialized experience includes:
1) Works independently to complete objectives, priorities and deadlines.
2) Uses various electronic processing programs, applications and computer systems to identify and resolve issues.
3) Researches customer service complaints and uses sound judgment in preparing information for review.
4) Performs administrative activities, which include a variety of problems, questions, or situations that have a significant impact on revenue reimbursement.
5) Verifies Third Party Payer (TPP) precertification requirements of insurance coverage.
There is no educational substitution for the GS-06 level.
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; religions; 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.
Education This job does not have an education qualification requirement.
Additional information VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies.
This position may be authorized for telework.
Telework eligibility will be discussed during the interview process.
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 if applicable, and must be proficient in most of the requirements of the job.
Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website which can be found at https:
//www.
opm.
gov/.
Receiving Service Credit for Earning Annual (Vacation) Leave:
Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee.
VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service.
This credited service can be used in determining the rate at which they earn annual leave.
Such credit must be requested and approved prior to the appointment date and is not guaranteed.
This job opportunity announcement may be used to fill additional vacancies.
If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.
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.
Opens in a new windowLearn 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.
How You Will Be Evaluated You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC.
WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
Applicants will be referred in the order in which they were received.
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.
Opens in a new windowLearn 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.
Required Documents As a new or existing federal employee, you and your family may have access to a range of benefits.
Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee.
You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.
Documents Accepted:
DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) OF-306 Performance Appraisal Resume Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Documents Required:
Resume Please review the above list(s) to ensure you have included all necessary documents required for your application.
Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees).
You will not be contacted for additional information.
Applicants will be deemed ineligible if supporting documentation is not submitted.
Veterans' Preference:
Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply.
Qualified veterans will, however, be given full consideration for this position.
Applications are accepted online.
Applying online will allow you to review and track the status of your application.
How to Apply All applicants are encouraged to apply online.
To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section.
The complete application package must be submitted by 11:
59 PM (EST) on 11/20/2023 to receive consideration.
To preview the questionnaire click https:
//apply.
usastaffing.
gov/ViewQuestionnaire/12201922.
1.
To begin, click Apply Online to create a USAJOBS account or log in to your existing account.
Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.
2.
Click Submit My Answers to submit your application package.
NOTE:
It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
To verify your application is complete, log into your USAJOBS account, https:
//my.
usajobs.
gov/Account/Login, select the Application Status link and then select the More Information link for this position.
The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application.
Your uploaded documents may take several hours to clear the virus scan process.
To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement.
You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
Agency contact information VHA National Recruitment Center Phone (844)456-5208 Email email protected Address VA FCCPAC Orlando 733 13800 Veterans Way Orlando, FL 32814 US Next steps After the vacancy announcement closes, applicants are evaluated to ensure qualification and eligibility requirements are met.
After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email.
Fair and Transparent The Federal hiring process is set up to be fair and transparent.
Please read the following guidance.
Equal Employment Opportunity (EEO) Policy Reasonable accommodation policy Financial suitability Selective Service New employee probationary period Signature and false statements Privacy Act Social security number request Required Documents Documents Accepted:
DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) OF-306 Performance Appraisal Resume Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Documents Required:
Resume Please review the above list(s) to ensure you have included all necessary documents required for your application.
Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees).
You will not be contacted for additional information.
Applicants will be deemed ineligible if supporting documentation is not submitted.
Veterans' Preference:
Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply.
Qualified veterans will, however, be given full consideration for this position.
Applications are accepted online.
Applying online will allow you to review and track the status of your application.
Help This job is open to Career transition (CTAP, ICTAP, RPL) Federal employees who meet the definition of a surplus or displaced employee.
The public U.
S.
Citizens, Nationals or those who owe allegiance to the U.
S.
Clarification from the agency ALL US CITIZENS DIRECT HIRE AUTHORITY:
This position is being filled using Direct-Hire Authority (5 CFR 337.
201) for this occupation.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
8 Orlando, FL Orlando, FL Full-time Full-time $42,022 - $54,625 a year $42,022 - $54,625 a year 2 days ago 2 days ago 2 days ago Duties RUR PSAs support the activities of clinical staff specific to the reimbursement cycle including precertification, continued stay, and clinical appeals/denials management.
Responsible for the verification of Third Party Payer (TPP) precertification requirements of Veterans' insurance coverage for inpatient, outpatient, prescription, Care in the Community (CIC) authorized medical care, and prosthetics services.
Responsible to decide whether to initiate pre-notification, notification, precertification or to pend medical care authorization requests as appropriate based on their individual review and judgement of each unique case.
Responsible for entering documentation of precertification activities according to established requirements in Claims Tracking.
Transcribe the determination into Claims Tracking (CT) for permanent record and select the applicable Reason Not Billable (RNB).
Work Schedule:
Mon - Friday 8:
00am - 4:
30pm Position Description Title/PD#:
Program Support Assistant/PD05206A Physical Requirements:
The work is primarily sedentary but may require some physical effort such as periods of standing, walking, sitting, or bending.
This position requires visual acuity, clear distinctive speech, and manual dexterity.
This position requires potentially long periods of continued sitting and computer use and typing.
The incumbent must be an individual capable of working effectively in stressful situations and able to shift priorities based on organizational needs.
Requirements Conditions of Employment You must be a U.
S.
citizen to apply for this job Subject to a background/suitability investigation May serve a probationary period Selective Service Registration is required for males born after 12/31/1959 A complete application package; Resume, Transcripts, etc.
Selected applicants will be required to complete an online onboarding process Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement.
GS-06 grade level:
One year of specialized experience (equivalent to the GS-05 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization.
Specialized experience includes:
1) Works independently to complete objectives, priorities and deadlines.
2) Uses various electronic processing programs, applications and computer systems to identify and resolve issues.
3) Researches customer service complaints and uses sound judgment in preparing information for review.
4) Performs administrative activities, which include a variety of problems, questions, or situations that have a significant impact on revenue reimbursement.
5) Verifies Third Party Payer (TPP) precertification requirements of insurance coverage.
There is no educational substitution for the GS-06 level.
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; religions; 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.
Education This job does not have an education qualification requirement.
Additional information VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies.
This position may be authorized for telework.
Telework eligibility will be discussed during the interview process.
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 if applicable, and must be proficient in most of the requirements of the job.
Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website which can be found at https:
//www.
opm.
gov/.
Receiving Service Credit for Earning Annual (Vacation) Leave:
Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee.
VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service.
This credited service can be used in determining the rate at which they earn annual leave.
Such credit must be requested and approved prior to the appointment date and is not guaranteed.
This job opportunity announcement may be used to fill additional vacancies.
If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.
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.
Opens in a new windowLearn 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.
How You Will Be Evaluated You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC.
WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
Applicants will be referred in the order in which they were received.
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.
Opens in a new windowLearn 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.
Required Documents As a new or existing federal employee, you and your family may have access to a range of benefits.
Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee.
You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.
Documents Accepted:
DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) OF-306 Performance Appraisal Resume Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Documents Required:
Resume Please review the above list(s) to ensure you have included all necessary documents required for your application.
Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees).
You will not be contacted for additional information.
Applicants will be deemed ineligible if supporting documentation is not submitted.
Veterans' Preference:
Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply.
Qualified veterans will, however, be given full consideration for this position.
Applications are accepted online.
Applying online will allow you to review and track the status of your application.
How to Apply All applicants are encouraged to apply online.
To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section.
The complete application package must be submitted by 11:
59 PM (EST) on 11/20/2023 to receive consideration.
To preview the questionnaire click https:
//apply.
usastaffing.
gov/ViewQuestionnaire/12201922.
1.
To begin, click Apply Online to create a USAJOBS account or log in to your existing account.
Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.
2.
Click Submit My Answers to submit your application package.
NOTE:
It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
To verify your application is complete, log into your USAJOBS account, https:
//my.
usajobs.
gov/Account/Login, select the Application Status link and then select the More Information link for this position.
The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application.
Your uploaded documents may take several hours to clear the virus scan process.
To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement.
You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
Agency contact information VHA National Recruitment Center Phone (844)456-5208 Email email protected Address VA FCCPAC Orlando 733 13800 Veterans Way Orlando, FL 32814 US Next steps After the vacancy announcement closes, applicants are evaluated to ensure qualification and eligibility requirements are met.
After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email.
Fair and Transparent The Federal hiring process is set up to be fair and transparent.
Please read the following guidance.
Equal Employment Opportunity (EEO) Policy Reasonable accommodation policy Financial suitability Selective Service New employee probationary period Signature and false statements Privacy Act Social security number request Required Documents Documents Accepted:
DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) OF-306 Performance Appraisal Resume Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Documents Required:
Resume Please review the above list(s) to ensure you have included all necessary documents required for your application.
Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees).
You will not be contacted for additional information.
Applicants will be deemed ineligible if supporting documentation is not submitted.
Veterans' Preference:
Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply.
Qualified veterans will, however, be given full consideration for this position.
Applications are accepted online.
Applying online will allow you to review and track the status of your application.
Help This job is open to Career transition (CTAP, ICTAP, RPL) Federal employees who meet the definition of a surplus or displaced employee.
The public U.
S.
Citizens, Nationals or those who owe allegiance to the U.
S.
Clarification from the agency ALL US CITIZENS DIRECT HIRE AUTHORITY:
This position is being filled using Direct-Hire Authority (5 CFR 337.
201) for this occupation.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
