Summary The incumbent serves as an Advanced Medical Support Assistant in the VA Care Community Section (VACC) at the Oscar G. Johnson VA Medical Center in Iron Mountain, Michigan, under Nursing and Patient Care Service. The incumbent's work impacts the administrative aspect of patient care, including: access, scheduling/ coordinating patient appointments using advanced clinic access principles, collecting and updating demographics and insurance information and customer service. Responsibilities The primary purpose of this position is as a VACC Coordinator. It is a foundational role within the continuum of patient care, working collaboratively with the patient care teams as well as a variety of specialty health care providers. This includes registered nurse care managers, primary care and/or specialty care providers, pharmacists, social workers, dieticians, behavioral health staff, etc. to provide a robust interdisciplinary approach to care. Important interfaces and collaborations also occur with larger health care system providers including VA and non-VA specialists, hospitals, diagnostic and treating facilities, and community-based programs. SCOPE OF ASSIGNED RESPONSIBILITIES: The Advanced MSA works collaboratively in an interdisciplinary coordinated care delivery model (i.e. PACT). The incumbent provides administrative support to clinicians and other administrative and professional staff throughout the medical staff office for purposes of coordinating VACC medical care for Veterans when the inpatient or outpatient provider has deemed such care necessary. The VACC program requires administrative scheduling and appointment coordination for diagnostic testing, and consultative appointments for many clinical services. Incumbent must receive phone calls in a courteous and timely manner, determine the nature of requests, provide the information desired using privacy rules and established processes. A caring, compassionate and sensitive manner is essential when explaining procedures to Veterans and their family both in person and on the phone. The MSA is able to independently manage position responsibilities with little supervision as well as set priorities and deadlines adjusting the flow and sequencing of work to meet team and patient needs. This position is responsible for generating authorizations for pre-authorized outpatient, unauthorized and emergency care claims, while making eligibility determinations for the various programs in VACC. Works closely with utilization review to insure proper authorizations are issued and appropriate correspondence is sent to vendors. He/She acts as a liaison between the veteran and the vendors with regard to the VACC section and VA clinical services and/or primary care services. Obtains requested reports, x-rays, labs and any pertinent information required to complete the VACC Coordination consult in CPRS. Ensures all necessary components and documentation is distributed to appropriate services at the private institution where service will be provided. Prioritizes requested procedure based on urgency, combat veteran status and compensation and pension exams. The incumbent is responsible for the coordination of all administrative information between the professional staff and the patient. This includes data entry, administratively managing consult requests, and making and notifying the patient of his/her scheduled appointment with the outside providers. Responsible for maintaining a current directory of contact information in Excel, to include name, address, phone, and fax numbers of institution, contact person and estimated cost of procedure. The incumbent is responsible for generating correspondence to the Veterans and various providers and managing all received correspondence related to their non-VA care. Provides advisory and technical assistance to Veterans and staff in answering questions. Determines the nature of Veterans' needs, questions or complaints. Provides necessary information to the staff and the patient, dealing with a wide range of problems including atypical and complex situations. Incumbent utilizes FBCS, HSRM and VISTA to manage and coordinate appointment management with the creation of authorizations as outlined by the VACC Coordination national Standard Operating Procedures. Works to resolve issues with Veterans, vendors and clinical staff to ensure appropriate care is scheduled and authorized at Non-VA facilities. Incumbent must be able to interpret and communicate requirements of the VHA Scheduling Directives and complete accurate scheduling responsibilities. All appointments will be made with the patient's input. This may require a high level of coordination. Employee works collaboratively with the Medical Center's managers, PACT Teams, VA providers, and discipline specific functional area professional and clinical leaders, as well as Social Workers, Managers and Non-VA healthcare professionals and community vendors. Employee must acquire knowledge of internal organizational procedures, knowledge of various facility services, knowledge of commonly used medical terminology and abbreviations, and VA acronyms and their meaning. Work Schedule: 8:00AM- 4:30 PM Telework: Telework available after probationary training period is met. Reg Teleworks 6+ Days/PP. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: N/A Permanent Change of Station (PCS): Not eligible Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. 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. Must pass pre-employment physical examination. 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 Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education or Training: Six months experience of clerical, office, [customer service], or other [administrative] work that indicates the ability to acquire the particular knowledge and skills needed to perform the duties of the position; OR One year above high school; OR Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable. Physical Requirements: Must pass a pre-employment physical per VA Directive and Handbook 5019. English Language Proficiency: MSA's must be proficient in spoken and written English in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3j. In addition to the basic requirements, you must meet the following grade requirements. GS-6 Grade Requirements: Must have one year of experience equivalent to the GS-5 grade level. Specialized experience includes, but is not limited to: Advising clinical staff on current administrative processes. Answering phones, greeting patients, relaying messages to appropriate staff inside or outside of the unit, scheduling, canceling, re-scheduling patient appointments and/or consults in a computerized scheduling system; interpreting and verifying provider orders in accordance with VHA national scheduling guidelines. Entering no-show information; monitoring appointment requests from multiple electronic sources; participating in huddles with other MSAs and/or clinic staff to determine the daily needs of the clinic, monitoring both inpatient and outpatient appointments in areas of responsibility; verifying and updating demographics and insurance information when patients check-in for appointments. Coordinates administrative functions relating to emergency and non-emergency transfers to other VA facilities or private hospitals and determines appointment type based on the patient's eligibility status (i.e., TRICARE, sharing agreements, collaterals, research patient, VA employee, etc.). AND Demonstrated Knowledge, Skills, and Abilities. Candidates must demonstrate the KSAs below: Ability to collaborate and communicate with a wide range of medical clinicians across multiple disciplines (e.g. medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting to ensure medical care to patients is met. Ability to independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations. Ability to communicate tactfully and effectively, electronically, by phone, in person, and in writing, with internal and external customers. This may include preparing reports in various formats and presenting data to various organizational levels, as well as resolving patient concerns. Advanced knowledge of the technical health care process. Including, but not limited to, scheduling across interdisciplinary coordinated care delivery and/or care in the community models and patient health care portals as it relates to access to care. Advanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and/or care in the community operational activities that affect patient flow, and patient support care. Administrative functions to include, but not limited to appointment cycles, outside patient referrals, follow-up care, overbooking, provider availability, etc. Advanced knowledge of medical terminology due to the technical nature of language utilized by clinicians. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The work is primarily sedentary. Physical demands do not exceed those of a typical office setting. There may be some walking, standing twisting, turning, sitting, pushing, bending, repetitive keyboarding, or carrying of light items. Some positions may require sitting for long periods of time at a computer terminal typing data while talking on a telephone headset. Education There is no educational substitution at this grade level. Additional Information During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. 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.