Job Description
To qualify for a Supervisory General Supply Specialist, your resume and supporting documentation must support: A. Specialized Experience: One year of specialized experience that equipped you with the particular competencies to successfully perform the duties of the position and is directly in or related to this position. To qualify at the GS-11 level, applicants must possess one year of specialized experience equivalent to the GS-09 level or equivalent under other pay systems in the Federal service, military, or private sector. Applicants must meet eligibility requirements including time-in-grade (General Schedule (GS) positions only), time-after-competitive appointment, minimum qualifications, and any other regulatory requirements by the cut-off/closing date of the announcement. Creditable specialized experience includes: Provides analysis of the location survey program effectiveness, customer complaints, denial management program, document retention compliance and inventory in-transit visibility. Reviews, approves and signs all causative research vouchers including analysis of Error Classification Codes (ECC). Tracks completion and performance for sample inventories for Performance and Chief Financial Officers Act, wall-to-wall inventories for controlled items and special and customer requested inventories. B. Education Substitution: Such education must demonstrate the knowledge, skills, and abilities necessary to do the work. Education must be from a college or university accredited by an organization approved by the U.S. Department of Education. See http://ope.ed.gov/accreditation/Search.aspx. If using education to meet basic qualifications, YOU MUST SUBMIT A TRANSCRIPT as supplemental documentation. To qualify based on education in lieu of specialized experience, you must possess: Ph.D. or equivalent doctoral degree OR 3 full years of progressively higher-level graduate education leading to such degree OR LL.M., if related C. Combination: Combinations of successfully completed post-high school education and experience may be used to meet total qualification requirements for grade levels GS-11 and may be computed by first determining the applicant's total qualifying experience as a percentage of the experience required for the grade level; then determining the applicant's education as a percentage of the education required for the grade level; and then adding the two percentages. The total percentages must equal at least 100 percent to qualify an applicant for that grade level. Only graduate education in excess of the amount required for the next lower grade level may be used to qualify applicants for positions at grade GS-11. 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, religious, 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. Physical Demands: Work is primarily sedentary in nature, however some walking, stooping, bending or climbing may be required to observe and study operations in an industrial, storage or comparable work area. Work Environment: Work is usually performed in an office setting, however research and reviews will require frequent visits into warehouse and operational areas of the Distribution Center. Some exposure to weather, dust and noise is likely during reviews. Employees will be required to wear safety equipment appropriate for the assigned work area. Some travel will be required.
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40β80 claims flagged by the payer in the last 24 hours. Sort by doβ¦
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, Cβ¦
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, anβ¦
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