The purpose of the position is to serve as a Medical Support Assistant (MSA), also known as Health Benefits Advisor, to the Manchester Business Office. The incumbent is responsible for a wide range of assignments and provides administrative support to the Section, and the clinical staff recovery aspects of this position have a direct impact on the reimbursement of the facility.
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Verifies eligibility/entitlement for benefits of all applicants using various methods including income assessments, military discharge documents, computer hospital inquiry (HINQ), Veterans Information Solution (VIS) and other means, such as communications with VA Regional Office or VA Records Processing Centers.
Advises the veterans of their entitlement to various medical benefits and discusses co-payment requirements of veterans in discretionary categories. Extreme tact, diplomacy and privacy are required to explain complicated laws in this area.
Responds to inquiries from veterans, Medical Center staff and other agencies regarding applying for care, eligibility, etc. Accurately generates patient data cards for veterans applying for care using the Veterans Identification Card (VIC) system.
Monitors enrolled patient data base information on a regular basis (at a minimum, annually) to perform updates to health insurance data, income assessments for the Means Test and Pharmacy Co-pay Exemption programs as mandated by law.
Identifies and collates health insurance information from all applicants for entry to the VistA, copies or scans insurance company enrollment identification cards, researches employers as needed to obtain complete data when applicants do not have complete information.
Ensures that all new veterans to the system are registered within 7 days of receipt of their application. New eligible applicants will be given the appropriate appointments and receive proper notification either by letter or post card.
In the performance of official duties, the employee has regular access to printed and electronic files containing sensitive data which must be protected under the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations, VA statutes and policy, and VHA procedures.
The employee will have regular and recurring contact with personnel external to the agency for the obtainment of services, sharing of information and authorization, clarification or denial of payment.
The incumbent will also assist with the Fee Basis Program and will be the liaison for the Manchester Medical Center and work with the Fee Basis staff to assure all requests are processed in a timely manner.
Work Schedule: Monday - Friday, Day Shifts
Financial Disclosure Report: Not required
Job family (Series)
0679 Medical Support Assistance
HelpRequirements Conditions of Employment
You must be a U.S. Citizen to apply for this job
Designated and/or random drug testing may be required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
Selected applicants will be required to complete an online onboarding process
a. Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3g.)
b. Experience and Education
(1) Experience. Six months experience of clerical, office or other work that indicates the ability to acquire the particular knowledge and skills needed to perform the duties of the position; or
(2) Education. One year above high school; or
(3) Experience/Education Combination. Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable.
c. English Language Proficiency. MSAs must be proficient in spoken and written English in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3j.
Grade Determinations: The following criteria must be met when determining the grade of candidates.
GS-5 MSA (Full Performance Level)
(a) Experience or Education. One year of experience equivalent to the next lower grade level or 4 years of education above high school.
(b) Demonstrated Knowledge, Skills, and Abilities. Candidates must demonstrate the KSAs below:
1.Ability to operate computerized programs and databases in order to enter, modify and retrieve sensitive information/data into or from electronic medical records, scheduling systems and/or reports.
2.Knowledge of basic medical terminology.
3.Ability to make appointments in a clinical setting.
4.Ability to work independently in the accomplishment of a wide variety of duties, including setting priorities and coordinating work.
5.Ability to communicate effectively and professionally with employees at varying grade levels.
6.Ability to identify customer's concerns, perform the tasks required to resolve the issue accurately and timely, and follow-up as necessary to ensure a satisfactory resolution.
References: VA HANDBOOK 5005/53 PART II APPENDIX G45
The majority of the work is performed in an office setting, primarily while sitting. The position requires some standing, ambulation, bending, and carrying of items such as training materials.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: 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. You can verify your education here: http://ope.ed.gov/accreditation/. 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. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Department Of Veterans Affairs