Financial Admin Spec
Major Duties Include (but are not limited to):
Prepares reports to assist in monitoring claim submission and processing performance data to identify and provide root cause resolution; Participates in work groups to improve reporting capabilities for the agency with the goal of enhancing provider relationships; Assists in the development and implementation of internal control and auditing methodologies to ensure full compliance with sound quality control; Compiles a facility profile for all facilities supported by the unit and compiles a payer profile for all payers with which the unit does business with; Generates reports that assist the agency in monitoring claims processing performance and timeliness with community providers; Assists in developing communications, tools, templates, presentations and job aids to educate community providers and agency staff; Participates in provider led training opportunities to discuss and resolve operational issues; Educates staff on policies and procedures related to payment methodologies, Electronic Data Interchange, Medical Remittance Advise, and rejections; and Generates reports and analyzes data to identify claims submission and claims processing inefficiencies and inaccuracies with community providers. 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. Work Schedule:
M-F, 7-5:
30PM (8 hour shift TBD by Supv.) Telework:
Available by ADHOC Virtual:
This is not a virtual position. Position Description/PD#:
Financial Admin Spec/PD53009A and PD53010A Relocation/Recruitment Incentives:
Not Authorized Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/31/2020. Time-In-Grade Requirement GS-09:
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-09 position you must have served 52 weeks at the GS-07. 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. Time-In-Grade Requirement GS-11:
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-09. 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 displaced VA employees applying with CTAP eligibility. You may qualify based on your experience and/or education as described below:
Specialized Experience GS-09:
You must have one year of specialized experience equivalent to at least the next lower grade GS-07 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
1) Assists with designing action plans and establishes target dates to manage and monitor claims submission and processing projects with community providers 2) Keeps track of claims processing activities and verifies that payments are accurate, consistent, and in accordance with public laws, directives, and regulations 3) Assists in communicating compliance challenges and program opportunities to agency leadership, managers, and other stakeholders 4) Aids in the education of community providers regarding regulations and processes that govern VA claims processing 5) Assists in studies, analysis, and helps develops methods to improve the efficiency, accuracy, and timeliness of services provided to both internal and external customers 6) Aids with the investigation of systemic issues and developing root cause solutions related to claims processing issues 7) Helps develop claims processing solutions within the consolidated processing units for the unit and all associated decentralized units to resolve reoccurring claims submission issues with community providers OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a master's or equivalent graduate degree, or 2 full years of progressively higher level graduate education leading to such a degree, or LL.B. or J.D., (if related) 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 1 full year of graduate level education. Specialized Experience GS-11:
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:
1) Designs action plans and establishes target dates to manage and monitor claims submission and processing projects with community providers 2) Monitors claims processing activities and verifies that payments are accurate, consistent, and in accordance with public laws, directives, and regulations 3) Communicates compliance challenges and program opportunities to agency leadership, managers, and other stakeholders 4) Educates community providers regarding regulations and processes that govern VA claims processing 5) Studies, analyzes, and develops methods to improve the efficiency, accuracy, and timeliness of services provided to both internal and external customers 6) Assists with the investigation of systemic issues and developing root cause solutions related to claims processing issues 7) Develops claims processing solutions within the consolidated processing units for the unit and all associated decentralized units to resolve reoccurring claims submission issues with community providers. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher level graduate education leading to such a degree, or LL.M., (if related) 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 or equivalent graduate degree, or 2 full years of progressively higher level graduate education leading to such a degree, or LL.B. or J.D., (if related). You will be rated on the following Competencies for this position:
Analytical ThinkingComplianceEducation and TrainingProblem Solving 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 but there are instances of occasional standing, bending, walking, lifting, and carrying of items. The work is performed in an office setting where adequate light and ventilation is present. Office safety precautions are required. Occasional travel may be required. 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.
Prepares reports to assist in monitoring claim submission and processing performance data to identify and provide root cause resolution; Participates in work groups to improve reporting capabilities for the agency with the goal of enhancing provider relationships; Assists in the development and implementation of internal control and auditing methodologies to ensure full compliance with sound quality control; Compiles a facility profile for all facilities supported by the unit and compiles a payer profile for all payers with which the unit does business with; Generates reports that assist the agency in monitoring claims processing performance and timeliness with community providers; Assists in developing communications, tools, templates, presentations and job aids to educate community providers and agency staff; Participates in provider led training opportunities to discuss and resolve operational issues; Educates staff on policies and procedures related to payment methodologies, Electronic Data Interchange, Medical Remittance Advise, and rejections; and Generates reports and analyzes data to identify claims submission and claims processing inefficiencies and inaccuracies with community providers. 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. Work Schedule:
M-F, 7-5:
30PM (8 hour shift TBD by Supv.) Telework:
Available by ADHOC Virtual:
This is not a virtual position. Position Description/PD#:
Financial Admin Spec/PD53009A and PD53010A Relocation/Recruitment Incentives:
Not Authorized Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/31/2020. Time-In-Grade Requirement GS-09:
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-09 position you must have served 52 weeks at the GS-07. 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. Time-In-Grade Requirement GS-11:
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-09. 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 displaced VA employees applying with CTAP eligibility. You may qualify based on your experience and/or education as described below:
Specialized Experience GS-09:
You must have one year of specialized experience equivalent to at least the next lower grade GS-07 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
1) Assists with designing action plans and establishes target dates to manage and monitor claims submission and processing projects with community providers 2) Keeps track of claims processing activities and verifies that payments are accurate, consistent, and in accordance with public laws, directives, and regulations 3) Assists in communicating compliance challenges and program opportunities to agency leadership, managers, and other stakeholders 4) Aids in the education of community providers regarding regulations and processes that govern VA claims processing 5) Assists in studies, analysis, and helps develops methods to improve the efficiency, accuracy, and timeliness of services provided to both internal and external customers 6) Aids with the investigation of systemic issues and developing root cause solutions related to claims processing issues 7) Helps develop claims processing solutions within the consolidated processing units for the unit and all associated decentralized units to resolve reoccurring claims submission issues with community providers OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a master's or equivalent graduate degree, or 2 full years of progressively higher level graduate education leading to such a degree, or LL.B. or J.D., (if related) 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 1 full year of graduate level education. Specialized Experience GS-11:
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:
1) Designs action plans and establishes target dates to manage and monitor claims submission and processing projects with community providers 2) Monitors claims processing activities and verifies that payments are accurate, consistent, and in accordance with public laws, directives, and regulations 3) Communicates compliance challenges and program opportunities to agency leadership, managers, and other stakeholders 4) Educates community providers regarding regulations and processes that govern VA claims processing 5) Studies, analyzes, and develops methods to improve the efficiency, accuracy, and timeliness of services provided to both internal and external customers 6) Assists with the investigation of systemic issues and developing root cause solutions related to claims processing issues 7) Develops claims processing solutions within the consolidated processing units for the unit and all associated decentralized units to resolve reoccurring claims submission issues with community providers. OR, Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher level graduate education leading to such a degree, or LL.M., (if related) 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 or equivalent graduate degree, or 2 full years of progressively higher level graduate education leading to such a degree, or LL.B. or J.D., (if related). You will be rated on the following Competencies for this position:
Analytical ThinkingComplianceEducation and TrainingProblem Solving 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 but there are instances of occasional standing, bending, walking, lifting, and carrying of items. The work is performed in an office setting where adequate light and ventilation is present. Office safety precautions are required. Occasional travel may be required. 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:
$52,905 to $83,210 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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