U.S. Department of Veterans Affairs - Agency Wide
$36,141.00 to $52,365.00
Open & closing dates
$36,141 to $52,365 per year
Pay scale & grade
GS 5 - 6
9 vacancies in the following location:
Relocation expenses reimbursed
This job is open to
Current or former competitive service employees, including:
Career Transition (CTAP, ICTAP, RPL)
OUR MISSION: To fulfill President Lincoln's promise - To care for him who shall have borne the battle, and for his widow, and his orphan- by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?
Special Employment Consideration: VA encourages persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., intellectual disabilities, severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more. Contact the Agency Contact on the last page of the JOA for information on how to apply under this appointment authority via the Selective Placement Coordinator.
For more information on the Who may apply eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document.
WHO MAY APPLY:
Current permanent employees of the VA Nationwide including permanent Veterans Canteen Service Employees
**This position does not require completion of the OGE Form 450, Confidential Financial Disclosure Report. **
Travel Required: Not Required
Relocation Authorized: No
Learn more about this agency
This position is organizationally located in the Purchased Care section of VA Northern CA Health Care System (VANCHCS). Major duties include, but are not limited to, processing of all applications and invoices for Purchased Care medical treatment, development and processing claims for authorized and unauthorized non-VA hospitalization and control and issue of VA Outpatient Treatment Cards (ID) for the Purchased Care program. The incumbent directly supports non-VA care in the day-to-day operations encompassing various aspects of the Purchased Care programs, which have their own unique criteria for entitlement. Develops and processes claims and determines legal entitlement for medical benefits for authorized and unauthorized medical services. Incumbent acts on own initiative, resources, and independent judgment in the management of the authorized and unauthorized claims programs. Obtains necessary files to ensure eligibility benefits are met and makes the determination of legal entitlement if files are unavailable. Reviews and evaluates records to make service connection rating or non-service connection determinations. Incumbent will notify Purchased Care vendors of claim payment determinations by means of electronic remittance advices. The incumbent is responsible for reviewing claims for completeness and quality and for ensuring that all pertinent facts in the case are developed before letters of approval or denial are prepared. Must have knowledge of medical terminology, regulations, and manuals related to the administration of Purchased Care programs and is able to interpret and utilize this information to competently answer questions and compose correspondence. The incumbent must ensure that all required information is organized, complete and accurate in preparation for scanning into the automated electronic file system. Required to prepare and type correspondence, memoranda, and appeal forms as well as ensuring correct punctuation, capitalization, spelling, grammar, and formating.
Work Schedule: Monday-Friday 8:00 am - 4:30 pm
Position Description Title/PD#: 11749-A/9722-A
Rotating Shift: No
Required to Work Holidays and/or Weekends: No
Fair Labor Standards Act (FLSA): Non-Exempt
Bargaining Unit: Yes
Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level
Who May Apply
This job is open to…
Status Candidates (Merit Promotion and VEOA Eligibles)
Questions? This job is open to 2 groups.
Job family (Series)
0303 Miscellaneous Clerk And Assistant
Conditions of Employment
Physical Requirements: The work is primarily sedentary. It is usually accomplished while seated at a desk or a table. There may be some walking or standing in the course of the workday. Light lifting and carrying under 15 pounds may be required. Use of fingers and both hands required.
Time-in-grade: 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 For a GS-05 position you must have served 52 weeks at the GS-04 level. For a GS-06 position you must have served 52 weeks at the GS-05 level.
REASONABLE ACCOMODATIONS: This Agency provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, you must notify the agency. This decision on granting reasonable accommodation will be made on a case-by-case basis.
To qualify for this position, applicants must meet all requirements by the closing date of this announcement
General Experience for GS-05 grade level
Applicants must have 2 years progressively responsible clerical, office, or other work that indicates ability to acquire the particular knowledge and skills needed to perform the duties of the position to be filled.
Applicants may substitute education for the experience required for the GS-05 level. Successful completion of 4 years above the high school level. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university.
Applicants may also combine education and experience to qualify at the GS-05 level. To calculate, first identify the percentage of required education you have earned (when substituting, you cannot use the first 60 semester hours that you earned). Then identify the percentage of required experience you possess. Add the two percentages. The total percentage must equal at least 100 percent to qualify at the GS-05. For example, an applicant who has 9 semester hours of graduate level education (i.e. 50% of graduate education required) and 6 months of creditable specialized experience (i.e. 50% of the required experience) would equal 100% of the required experience for the position
A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Specialized Experience for GS-6 grade level:
You must possess one (1) year of specialized experience that has equipped you with the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position. Examples of specialized experience include, but are not limited to:
· Processing applications and invoices for treatments
· Coordinating claims information from a variety of sources
· Knowledge of medical terminology, regulations, and manuals
· Preparing and typing correspondence, ensuring correct punctuation, grammar, spelling, and format
To be creditable, specialized experience must have been equivalent to at least the GS-5 grade level in federal service.
There is no educational substitution for the GS-06 level.
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.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 Application for 10 Point Veterans Preference with required proof as stated on the form. For more information, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
You will be rated on the following competencies based on your application for this position.
Competency 1 - Extensive administrative knowledge and working technical knowledge of a variety of Non-VA/Purchase Care, and related operations.
Competency 2 -In-depth knowledge of governing laws, regulations, VA policies, and procedures.
Competency 3 - Analytical ability to research, assemble, and compile information and data, evaluate results against appropriate standards, and recommend corrective action where indicated.
Competency 4-Ability to clearly communicate orally and in writing.
If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview.
Your résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect your rating or consideration for employment.
Background checks and security clearance
You must submit the following required documents with your application:
1. A current resume or any other written format may be submitted provided it contains all of the information in the USAJobs resume format. Provide beginning and ending dates (MM/YY) of employment, the average number of hours worked per week, and a description of the duties for each position listed on your resume. If you performed more than one position title, please indicate the percentage of time you spent performing each title's duties.
2. Responses to the questionnaire.
3. All current or former Federal Employees - VA and non VA: Notification of Personnel Action (SF-50's) documenting permanent status (career or career-conditional), promotion action to the highest grade held in the federal government, and if applicable, your separation SF-50.
4. Optional: Your most recent Performance Appraisal if directly related to the position for which you are applying.
5. All Veterans: Military Discharge Certificate for each enlistment (DD-214). Please include a copy which shows the type of discharge received.
6. All 10-point preference eligible Veterans: SF-15 Application for 10 point Veteran Preference (SF-15) and supporting documentation stated on the SF-15. This form is available at: https://www.opm.gov/forms/pdf_fill/SF15.pdf Preference will not be granted without proper documentation.
7. All disabled eligibles who want to be considered under Schedule A appointment authority: Letter from the State or Vocational Rehab Service.
8. All displaced Federal employees applying under the Inter agency Career Transition Assistance Plan (ICTAP): ICTAP eligibles must attach a copy of their specific RIF separation notice and, if separated, their RIF separation SF-50.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How to Apply
How to Apply
To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process.
Agency contact information
VA Northern California Health Care System
10535 Hospital Way
Learn more about this agency
After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USAJOBS account and clicking on Application Status. For a more detailed update of your status, click on more information. Information regarding applicant notification points can be found in the USAJobs Resource Center.
Fair & Transparent
Fair & Transparent
The Federal hiring process is setup to be fair and transparent. Please read the following guidance.
Equal Employment Opportunity Policy
The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
Equal Employment Opportunity (EEO) for federal employees & job applicants
Reasonable Accommodation Policy
Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application and hiring process should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.
Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when: An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.
You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.
Learn more about disability employment and reasonable accommodations
or how to contact an agency.
Legal and regulatory guidance
Social security number request
Signature and false statements
New employee probationary period
Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.
U.S. Department of Veterans Affairs - Agency Wide
Website : http://www.va.gov/
The Veterans Health Administration is home to the United States’ largest integrated health care system consisting of 152 medical centers, nearly 1,400 community-based outpatient clinics, community living centers, Vet Centers and Domiciliaries. Together these health care facilities and the more than 53,000 independent licensed health care practitioners who work within them provide comprehensive care to more than 8.3 million* Veterans each year.