Summary
The position is located within the Consolidated Patient Account Center (CPAC) at Las Vegas, NV VA Medical Center in North Las Vegas, NV. The CPAC provides a broad range of business services in support of VISN and VAMC operations. The primary purpose of this position is to: Accounts Receivable Management, Collections, Medical & Pharmacy Claims Processing, billing & collections, Customer Service, Financial & Performance Reporting, Insurance Identification and Verification, and Quality Assurance.
Responsibilities
***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Major duties and responsibilities include but not limited to: Reviewing accounts receivable records, debt cases, and supporting documentation to ensure accuracy and compliance with VA policies and Federal regulations Performing debt collection activities including follow-up contacts, notices, and maintaining due process requirements Researching, analyzing, and resolving accounts receivable discrepancies and determining appropriate collection actions Evaluating repayment options, compromises, write-offs, and referral actions based on case documentation and financial data Reviewing and validating requests for recoupment against insurance, eligibility, and billing records for accuracy and completeness Auditing billing and collection documents for errors, omissions, duplication, and inconsistencies Investigating third party liability cases including tort, workers compensation, and auto claims to support recovery determinations Analyzing medical, insurance, and legal documentation to determine appropriate collection actions and case outcomes Coordinating with beneficiaries, insurance carriers, vendors, and internal departments to resolve account issues and discrepancies Communicating with legal counsel regarding delinquent debts, bankruptcy cases, and enforcement actions Preparing documentation and supporting records for refunds, adjustments, write-offs, and account closures Reconciling accounts receivable data between VistA and financial management systems and correcting discrepancies Monitoring accounts receivable reports and maintaining statistical data on collections, delinquent accounts, and write-offs Updating financial systems with case actions, collection status, and account adjustments and maintaining supporting documentation and case files for all collection and recovery actions Performing other related duties as assigned Work Schedule: Monday - Friday; Full - Time, 8:00am - 4:30pm Recruitment & Relocation Incentives: Not authorized Critical Skills Incentive (CSI): Not approved Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process.
Qualifications
To qualify for this position at the GS-6 level, you must meet the following: SPECIALIZED EXPERIENCE (GS-06): You must have one (1) year of specialized experience that equipped you with the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level (i.e., GS-05). Qualifying examples of specialized experience would typically include but are not limited to: maintaining and updating financial records, case files, and supporting documentation; communicating with internal and external stakeholders to resolve routine billing questions; performing basic data entry and filing of financial or case documentation; and verifying that required forms and supporting documents are complete. (CLEAR DETAILS OF EXPERIENCE REQUIRED: Your resume must show complete information for each job entry, such as beginning and ending dates of employment, duties performed, and/or total hours worked per week.) 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/.
Requirements
You must be a U.S. Citizen to apply for this job To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Selective Service Registration is required for males born after 12/31/1959 Physical Requirements: The work may require some physical effort such as standing, walking, bending or sitting. There are no special physical demands. Subject to background/security investigation Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) - See "Required Documents" below for details. As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Education
There 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.