Financial Management Specialist
This position is in a Consolidated Patients Account Center (CPAC) in the organization of the Deputy Director of Operations with the position serving as the Facility Revenue Manager (FRM) located on-site at a medical facility. The CPAC is a regionally consolidated business entity established to enhance revenue operations throughout the VHA network by consolidation of billing and collection activity supported by medical center based utilization review, data validation and customer service functions that are organizationally aligned with the consolidated center. The FRM serves as the Medical Center manager for revenue-related issues from both CPAC and Medical Center staff, and is responsible for the development, enhancement, and analysis of operational procedures between both administrative and clinical services to maximize collections. In this position, serves as a revenue subject matter expert on local facility committees, Program Management Office (PMO) workgroups, CC committees, and any national initiative aimed at enhancement of revenue activities. Duties include, but are not limited to Organizes Facility Revenue Tech (FRT) work activities Prioritizes conflicting deadlines and tasks; Monitors workload; Monitors computer security menus and keys for staff to ensure minimal use is needed to perform job duties; Updates telework agreements as appropriate to ensure accurate agreements are maintained, including validating telework indicators for Human Resources. Monitors reports (such as Pre-Service at Risk, Post-Service at risk, Non-VA Care. Billing WIP, Non-VA Care Current Activity, Prosthetics Billing WIP, Daily and Weekly Billing WIP) to ensure timely account resolution. Approves or denies leave requests and certifies time & attendance records. Conducts regular productivity reviews and quality reviews of the work performance of FRTs. Orients new staff members and ensure training is provided for all employees as necessary. Evaluates work performance and recommends performance awards. Initiates disciplinary and proposed adverse actions when necessary. Counsels employees as necessary on substandard work and noncompliance with policies governing conduct. Interviews applicants and makes selections. Participates in Equal Employment Opportunity matters and Alternative Dispute Resolution to discuss and potentially resolve issues that have arisen in the workplace. Monitor the debt relief for High Risk Veteran Suicide project. Performs other duties as assigned. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/08/2020. 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-11 position you must have served 52 weeks at the GS-9. 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-09 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
Evaluating facility revenue programs using qualitative and quantitative analytical methodologies sufficient to analyze revenue trends. Utilization of the Code of Federal Regulations, OCC, PMO, Medical Center, and Fiscal policies and procedures as well as Hospital Directives pertaining to Release of Medical Information, Revenue Program, Eligibility, and HIPAA regulations. Application of medical terminology and procedures common to specialty services to document billing instruments, make appropriate entries in various operating programs, and to deal effectively with clinical staff, patients, and health insurance carriers. Skill processing several types of billing to communicate with Patient Advocates and different government agencies such as DOD, Tricare, Champ VA, Allied Beneficiaries and Sharing Agreements on a variety of revenue-related items such as billing, revenue collections, and reimbursements. Analyzing information that comes from Insurance software to ensure reimbursement for dollars expended to pay for private-sector treatment for our Veterans. Administering hospital wide automated systems such to generate reports, exam billing and collection data. Skill and ability to work under stressful situations with individuals from wide and varied backgrounds while maintaining tact and diplomacy. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a PhD. or 3 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related. Such education must demonstrate the knowledge, skills, and abilities necessary to do the work. OR, Combination:
Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond a Master's Degree. You will be rated on the following Competencies for this position:
You will be rated on the following Competencies for this position:
. You will be rated on the following Competencies for this position:
CommunicationsComputer SkillsHealth Information ExchangeLeadershipMedical InformationTechnical Competence 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:
The work is primarily sedentary with long periods of sitting at a desk, working with computers daily. Some work may require walking in offices and similar areas for meetings. Work may also require walking and standing in conjunction with travel to and attendance at meetings and conferences away from the worksite. The work does not require any special physical effort. 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/.
Estimated Salary: $20 to $28 per hour based on qualifications.
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-11 position you must have served 52 weeks at the GS-9. 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-09 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
Evaluating facility revenue programs using qualitative and quantitative analytical methodologies sufficient to analyze revenue trends. Utilization of the Code of Federal Regulations, OCC, PMO, Medical Center, and Fiscal policies and procedures as well as Hospital Directives pertaining to Release of Medical Information, Revenue Program, Eligibility, and HIPAA regulations. Application of medical terminology and procedures common to specialty services to document billing instruments, make appropriate entries in various operating programs, and to deal effectively with clinical staff, patients, and health insurance carriers. Skill processing several types of billing to communicate with Patient Advocates and different government agencies such as DOD, Tricare, Champ VA, Allied Beneficiaries and Sharing Agreements on a variety of revenue-related items such as billing, revenue collections, and reimbursements. Analyzing information that comes from Insurance software to ensure reimbursement for dollars expended to pay for private-sector treatment for our Veterans. Administering hospital wide automated systems such to generate reports, exam billing and collection data. Skill and ability to work under stressful situations with individuals from wide and varied backgrounds while maintaining tact and diplomacy. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a PhD. or 3 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related. Such education must demonstrate the knowledge, skills, and abilities necessary to do the work. OR, Combination:
Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond a Master's Degree. You will be rated on the following Competencies for this position:
You will be rated on the following Competencies for this position:
. You will be rated on the following Competencies for this position:
CommunicationsComputer SkillsHealth Information ExchangeLeadershipMedical InformationTechnical Competence 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:
The work is primarily sedentary with long periods of sitting at a desk, working with computers daily. Some work may require walking in offices and similar areas for meetings. Work may also require walking and standing in conjunction with travel to and attendance at meetings and conferences away from the worksite. The work does not require any special physical effort. 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/.
- Department:
0501 Financial Administration And Program - Salary Range:
$68,182 to $88,636 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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