Job Description
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 05/18/2026. 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-7 position you must have served 52 weeks at the GS-6. 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. Note: 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. You may qualify based on your experience and/or education as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-6 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Thorough knowledge of medical and dental terminology, to include anatomy and physiology, as well as pharmaceuticals and prosthetics. In depth or broad knowledge of a body of purchasing regulations, methods, procedures, and business practices to make purchases involving (1) specialized requirements and/or (2) commercial requirements that have unstable price or product characteristics, hard-to-locate sources, many critical characteristics, or similar complicating factors. Knowledge of bill of collection and appropriate use of VA Billing Forms, Standard Form (SF) SF1080, SFL081, and SF1 114. Knowledge of traditional and contemporary medial settings and services. Knowledge of eligibility requirements, laws, and regulations pertaining to the receipt and entitlement of medical care at VA facilities. Knowledge of eligibility requirements, laws, and regulations pertaining to the receipt and entitlement of medical care under the Care in the Community (CITC) program. Knowledge of VA Consolidated Health Record (CHR) and the associated fee medical and dental files as well as the Privacy Act of 1974. Knowledge of medical claims processing and the ability to meet customer inquiries timely. Knowledge of billing processes through VA, as well as through the Third-Party Administrator (TPA). Knowledge of Medical Care Cost Fund (MCCF) recovery processes. Knowledge of the Federal Prompt Payment act as it pertains to timeliness of claims processing and payment of interest penalties for late processing of contractual payments. 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. Preferred Experience: Previous experience in Veterans Affairs treatment programs and policies relating to eligibility. Complete knowledge of VA consolidated health record. Extensive experience in patient scheduling. Experience in providing excellent customer service. Incumbent should be able to load, edit, and retrieve information in VISTA. Incumbent should be able to exercise independence and adopt to changing needs and requirements of various CITC programs. Ability to provide analytical and statistical reports that will be used for management and budget decisions. Has extensive experience with CPRS, Vista, Outlook and MS Office programs. 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: The work is primarily sedentary, requiring sitting, standing, walking, bending, and carrying of light objects. The position demands periods of intense concentration and the ability to maintain self-control in challenging and difficult situations. 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-stan
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