Health Benefits Assistant
Full-time
Junior Executive
6 months ago
The incumbent has varied range of duties related to the enrollment a.....
- The incumbent has varied range of duties related to the enrollment and eligibility and benefits and travel to determination of Veterans
- Maintain a through and up to date knowledge of the rules and regulations, and policies and procedures in determining eligibility of Veterans for VA Healthcare
- Advises applicant of the health care benefits they are legally entitled to in person or over the phone, initiates administrative process for establishing care, and notifies appropriate healthcare personnel accordingly
- Respond to technical question regarding patients' administrative rights and situational eligibility for healthcare and provide patients with administrative advice and guidance
- Provide Veterans both verbal and written information regarding non-medical benefits and refers Veterans to area VBA Benefits Counselors for claims as appropriate
- Respond to complex questions involving regulations and/or beneficiary entitlements and communicated results to patients, families, agency employees, and Veterans' organizations
- Handle questions and/or concerns ensuring that quality service is rendered in a timely, complete and empathetic manner
- Verifies· eligibility for care utilizing primary sources including but not limited to the Health Eligibility Center (HEC), Hospital Inquiry HINQ, VIS and ES military discharge papers, DD214
- Communicates through data systems, verbally and electronically with the REC on a regular basis by providing accurate eligibility and enrollment information
- Serves as the Veteran's initial contact with the Medical Center. He/ She enrolls the Veteran by inputting information from the 10-1 0EZ Form into VISTA. In addition to the advisement of health care benefits
- Processes re-enrollment into the system and assist Veterans. He/ She connect Veterans with other program areas as needed
- Correspond with national contacts to resolve processing and conflicts that require action the Heath Eligibility Center
- Interacts with the entire Enrollment System Redesign (ESR) website to electronically enroll Veterans, a process recently mandated down to the local level in 2015, by inputting all required registration information
- Other duties as assigned
Work Schedule: Monday - Friday; 8:00 am - 4:30 pm Position Description Title/PD#: Health Benefits Assistant/PD01660A
Physical Requirements: The work is primarily a sedentary position. Typically, the employee sits comfortably to do the work. But, there may be some walking, standing, bending, carrying of light items such as papers, books, small items, etc. No special physical demands are required to perform the work. Concentration and sustained performance under potential stress of accuracy and deadlines is required because of factors involved in completion of various complex work assignments.
Virtual: This is not a virtual position
Driver License: Current, Valid Driver License
Relocation/Recruitment Incentive: Not Authorized
Financial Disclosure Report: Not Required
Starting at $41,365 Per Year (GS 5)
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