Summary The position is located within one of seven Consolidated Patient Accounts Center (CPACs), organizationally aligned under the Chief Financial Officer, in the Accounts Management department located in Asheville, NC. Responsibilities THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-7. At the GS-6 grade level, you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-7. Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher-level work, and availability of funds. Duties include, but may not be limited to the following: Reviews, researches, analyzes all accounts receivable records and documentation. Reviews and analyzes case information, remittance statements from the third-party payer or and others and the accounts receivable record relating to the debt. Analyzes third-party legal bills when additional information is received, or additional claims are paid. Reviews and verifies the validity of request for recoupment against benefit eligibility records, insurance data; vendor data and claim payment history. Reviews bill of collection for accuracy against submitted documentation, vendor address, fund control point, fiscal year, fund appropriation, claim refund payment, recoupment reason, etc. Validates and monitors accounts receivable transactions. Uses judgment and experience to reconstruct incomplete files and gather and organize information for inquiries. Interviews by telephone or via mail, beneficiaries and insurance representatives, to obtain sufficient information to process a case. Reconciles error reports and takes corrective action between different systems. Audits bill of collection and billing documents for error, omissions, duplications and inconsistencies. Utilizes systems to review claims. Perform other duties as assigned. Work Schedule: Monday through Friday from 08:00am-4:30pm Recruitment & Relocation Incentives: Not authorized Critical Skills Incentive (CSI): Not approved Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job Selective Service Registration is required for males born after 12/31/1959 You may be required to serve a probationary period Subject to background/security investigation Selected applicants will be required to complete an online onboarding process Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications SPECIALIZED EXPERIENCE-GS-6: Requires at least one year of specialized experience that equipped you with the particular knowledge, skills and abilities to perform successfully the duties of this position, and that is typically in or related to the work of the position to be filled. To be creditable, specialized experience must have been equivalent to at least the GS-5 grade level in the Federal Service. Specialized experience includes utilizing multiple electronic accounts receivable and financial systems applying knowledge of medical terminology and diagnostic coding to complete tasks pertaining to healthcare insurance verification, billing, first- and third-party collections, and resolving claims submissions. SPECIALIZED EXPERIENCE-GS-7: Requires at least one year of specialized experience that equipped you with the particular knowledge, skills and abilities to perform successfully the duties of this position, and that is typically in or related to the work of the position to be filled. To be creditable, specialized experience must have been equivalent to at least the GS-6 grade level in the Federal Service. Specialized experience includes utilizing multiple electronic accounts receivable and financial systems applying knowledge of medical terminology and diagnostic coding to complete tasks pertaining to healthcare insurance verification, billing, first- and third-party collections, and resolving claims submissions; and completing pharmacy claim submission functions for patients with reimbursable prescription insurance; and reconciling errors and taking action between the various systems. You will be rated on the following Competencies as part of the assessment questionnaire for this position: Customer Service (Clerical/Technical) Insurance Manages and Organizes Information Technical Competence IMPORTANT: A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. 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. 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 Requirements: The work may require some physical effort such as standing, walking, bending or sitting. There are no special physical demands. 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/. Education here is no educational substitution at this grade level. 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: Recognition of Foreign Qualifications | International Affairs Office (ed.gov). Additional Information This job opportunity announcement may be used to fill additional vacancies. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.