Job Description
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 04/02/2026. Time-In-Grade Requirement: 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-13 position you must have served 52 weeks at the GS-12. The grade may have been in any occupation but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. You may qualify based on your experience as described below: Specialized Experience: Must have 1 year of specialized experience equivalent to at least the next lower grade GS-12 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Comprehensive knowledge of the healthcare management system; knowledge and understanding of management principles, practices, methods and techniques, and skills in integrating management plans into general management of medical operations; knowledge of management analysis, resource management, human resources management, and program analysis methods; Planning, directing, and evaluating functions associated with Health Administration Service, such as providing advice and guidance in relation to issues as eligibility, scheduling, revenue, intake, insurance, coding, billing, accounts receivable and utilization review of processes - to include, purchase care (fee basis). Formulating plans and coordinating data validation within HAS; ability to implement new programs and refine and improve existing programs, independently organize, schedule, and complete assignments within the framework of the organization's policies, directives, and acceptable practices. 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. Note: A full year of work is considered to be 35-40 hours of work per week. 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. Physical Requirements: Physical exertion is limited to walking, climbing, stooping, bending, reaching, and occasionally driving. Sitting and manual dexterity are required to keyboard for extended periods of time in the execution of administrative duties. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.
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Review the surgical and procedure schedule for the next 48β72 hours. Every case that requires authorization needs to be cleared beβ¦
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Pull the PA worklist. Filter by date of service β cases with the earliest service dates get worked first. High-cost procedures (suβ¦
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Submit PA requests to payers. Each payer has its own portal, its own forms, its own documentation requirements. You know them allβ¦
See salary ranges, certifications, and full career path β