- Position Title
- Voucher Examiner
- Agency
- Veterans Health Administration
- Announcement Number
- CBZY-11226349-21-RMJ Opens in new window
- Open Period
- Tuesday, September 14, 2021 to Monday, October 4, 2021
For preview purposes only. To apply, please return to the USAJOBS announcement and click the Apply button.
Eligibilities
1.
Are you an employee of the facility indicated for this position?
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.
To verify your eligibility, you must submit a copy of your most recent Notification of Personnel Action, Standard Form 50 (SF-50). Your SF-50 must include enough information to be able to determine that time-in-grade requirements have been met (if applicable) and include your position title, pay plan/series/grade, tenure and the type of appointment (i.e. Competitive or Excepted). Please be aware that award SF-50's do not always include this pertinent information.
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.
To verify your eligibility, you must submit a copy of your most recent Notification of Personnel Action, Standard Form 50 (SF-50). Your SF-50 must include enough information to be able to determine that time-in-grade requirements have been met (if applicable) and include your position title, pay plan/series/grade, tenure and the type of appointment (i.e. Competitive or Excepted). Please be aware that award SF-50's do not always include this pertinent information.
2.
Are you a current or former federal employee displaced from the agency hiring for this position? If yes, confirm:
For more information, review the USAJOBS Help Center.
To verify your eligibility, you must submit supporting documentation such as a Reduction in Force (RIF) separation notice or a Proposed Removal/Separation notice to include your latest performance rating (if the notice does not have this information included, you must submit a copy of your most recent performance appraisal) and a copy of your latest Notification of Personnel Action, Standard Form 50.
- you are located in the same local commuting area of the vacancy; AND,
- you are applying to a position that is at or below the grade level of the position from which you were or will be separated; AND,
- your grade is equivalent to or below the grade level of the vacancy; AND,
- your last performance rating of record is at least fully successful or the equivalent.
For more information, review the USAJOBS Help Center.
To verify your eligibility, you must submit supporting documentation such as a Reduction in Force (RIF) separation notice or a Proposed Removal/Separation notice to include your latest performance rating (if the notice does not have this information included, you must submit a copy of your most recent performance appraisal) and a copy of your latest Notification of Personnel Action, Standard Form 50.
Preferences
1.
Which of the following items describes your current or recent (within the last five years) political appointee service?
If you responded yes to any of the items below, you will need to include a SF-50 specifying your prior service.
If you responded yes to any of the items below, you will need to include a SF-50 specifying your prior service.
Resume Reminder- Your resume must include the following information for each job listed:
Recommended: Even though we do not require a specific resume format, your resume must be clear so that we are able to fully evaluate your qualifications. To ensure you receive appropriate consideration, please list the duties you performed under each individual job title. If we are unable to match your experiences with the positions held, you may lose consideration for this vacancy. We cannot make assumptions regarding your qualifications.
- Job title Duties (be as detailed as possible)
- Month & year start/end dates (e.g. June 2007 to April 2008)
- Full-time or part-time status (include hours worked per week)
- Series and Grade, if applicable, for all Federal positions you have held
Recommended: Even though we do not require a specific resume format, your resume must be clear so that we are able to fully evaluate your qualifications. To ensure you receive appropriate consideration, please list the duties you performed under each individual job title. If we are unable to match your experiences with the positions held, you may lose consideration for this vacancy. We cannot make assumptions regarding your qualifications.
Assessment 1
Current Federal Employees Critical Note: Please provide your most recent SF-50 and your latest Within Grade Increase or Promotion SF-50 as well. The most recent SF-50 allows us to verify your current status, appointment, agency and/or duty station to confirm your Eligibility to Apply; The latest WIGI or Promotion SF-50 allows us to verify Time in Grade (TIG). Without these, we are unable to verify these requirements and you could be deemed unqualified for not meeting Area Of Consideration, Time In Grade or not providing the proper documentation for us to do so.
ALL APPLICANTS Critical Note: Evidence of specialized experience must be supported by detailed documentation of duties performed in positions held on your resume. You must provide work experience information such as hours per week, salary, and starting/ending dates of employment (month and year format) to establish you have at least 52 weeks one (1) full year of Specialized Experience at or comparable to the required grade level. Failure to provide the required information on your resume to accurately assess your experience may result in being deemed unqualified for this position. Information on building federal resumes can be found at: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/
ALL APPLICANTS Critical Note: Evidence of specialized experience must be supported by detailed documentation of duties performed in positions held on your resume. You must provide work experience information such as hours per week, salary, and starting/ending dates of employment (month and year format) to establish you have at least 52 weeks one (1) full year of Specialized Experience at or comparable to the required grade level. Failure to provide the required information on your resume to accurately assess your experience may result in being deemed unqualified for this position. Information on building federal resumes can be found at: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/
Please choose the answers below that best describe your employment and experience.
1.
GS-06 - Time-in-Grade Restriction - 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. (If you have not held a GS grade at any time in the past 52 weeks, this restriction does not apply to you.)
For this vacancy, applicants must have held a grade GS-05 or higher for at least a year to be eligible for the GS-06. The grade must have been held in the Federal service but may have been in any occupation.
Please select the response below that most accurately describes you:
For this vacancy, applicants must have held a grade GS-05 or higher for at least a year to be eligible for the GS-06. The grade must have been held in the Federal service but may have been in any occupation.
Please select the response below that most accurately describes you:
Select “Yes” or “No” to the following question(s).
2.
GS-06 Specialized Experience: Do you possess at least one (1) full year of specialized experience, which equips you with the particular knowledge, skills, and abilities to perform successfully the duties of the Voucher Examiner, GS-06 position, and that is typically in or related to the work of the position to be filled. To be creditable, this specialized experience must have been equivalent to the grade 05 level in Federal service to qualify at the grade 06.
Examples of specialized experience include:
1) Examines healthcare claims and other requests for payment for goods and services provided to Spina Bifida beneficiaries by non-VA providers
2) Examines a full range of healthcare claims having a wide variety of complicating factors to include Other Health Insurance calculations and payment authorization
3) Enters payment information into a computerized healthcare claims payment processing system which is applicable to the claim type, and program type unless internal or external correspondence is required
4) Examines all claims to ensure necessary processing information is present or suspends/rejects claim to appropriate queue
5) Analyzes each claim submission to determine propriety of payment to include required certifications by authorized officials, compliance with contract provisions, price agreements, and/or other directive material
Note: Evidence of specialized experience must be supported by detailed documentation of duties performed in positions held on your resume. You must provide work experience information such as hours per week, salary, and starting/ending dates of employment (month and year format) to establish you have one (1) full year of Specialized Experience at or comparable to the required grade level.
Examples of specialized experience include:
1) Examines healthcare claims and other requests for payment for goods and services provided to Spina Bifida beneficiaries by non-VA providers
2) Examines a full range of healthcare claims having a wide variety of complicating factors to include Other Health Insurance calculations and payment authorization
3) Enters payment information into a computerized healthcare claims payment processing system which is applicable to the claim type, and program type unless internal or external correspondence is required
4) Examines all claims to ensure necessary processing information is present or suspends/rejects claim to appropriate queue
5) Analyzes each claim submission to determine propriety of payment to include required certifications by authorized officials, compliance with contract provisions, price agreements, and/or other directive material
Note: Evidence of specialized experience must be supported by detailed documentation of duties performed in positions held on your resume. You must provide work experience information such as hours per week, salary, and starting/ending dates of employment (month and year format) to establish you have one (1) full year of Specialized Experience at or comparable to the required grade level.
Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided.
3.
Creates and researches accounting records to verify cost data and availability of funds
4.
Examines accounts or resolve difficult reconciliations requiring a detailed analysis of adjustments and corrective entries in the beneficiaries' account
5.
Trace transactions entered and prepare worksheets to reflect the source of discrepancies, corrective action required to bring billing discrepancies into agreement, prove the accuracy of discrepant data, recommend actions to prevent recurrence of similar discrepancies
6.
Performs ancillary preparatory components of Other Health Insurance resolution responsibilities, such as manually calculating and pro-rating proper distribution of OHI payments for specific dates of services on claims for accurate payment
7.
Examines healthcare claims and other requests for payment for goods and services provided to Spina Bifida beneficiaries by non-VA providers
8.
Examines a full range of healthcare claims having a wide variety of complicating factors to include Other Health Insurance calculations and payment authorization.
9.
Annotates and distributes rejected code sheets to the technician for correction
10.
Enters payment information into a computerized healthcare claims payment processing system which is applicable to the claim type, and program type unless internal or external correspondence is required
11.
Examines all claims to ensure necessary processing information is present or suspends/rejects claim to appropriate queue
12.
Prepares correspondence to all parties involved, including letters transmitting adverse decisions or requests for additional information to include detailed written request to beneficiaries that are not versed in medical billing terminology, forms or SB processing requirements
13.
Determine missing requirements and reconstruct incomplete files to allow completion of claim processing and construct letters to providers and beneficiaries
14.
Analyzes each claim submission to determine propriety of payment to include required certifications by authorized officials, compliance with contract provisions, price agreements, and/or other directive material
Select “Yes” or “No” to the following question(s).
15.
VERIFICATION STATEMENT: Your rating is subject to verification based on the résumé, narratives and other relevant documents you submit, and through verification of references as appropriate. Deliberate attempts to falsify information are grounds for non-selection and for termination. In addition, falsifying information on your application can result in your being barred from federal employment. Please choose A to certify that your answers are accurate and complete.