Job Overview

Summary

Vacancy ID: 881659 

OUR MISSION: To fulfill President Lincoln’s promise – “To care for him who shall have borne the battle, and for his widow, and his orphan” – by serving and honoring the men and women who are America’s Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

The Department of Veterans Affairs (VA) needs employees who possess the energy, compassion, and commitment to serve those who served our Country. Whatever the job title, every position in VA will give you a chance to make a meaningful and personal contribution to the lives of truly special and deserving people - our Veterans. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. Working for VA is one of the most emotionally satisfying and professionally rewarding ways to dedicate the best within you to your Country's service. If you are transitioning from the military or a Veteran already, we invite you to explore the benefits of continuing your career at the VA. The VA is committed to hiring Veterans.

The VA is much more than just another employer. It is an honorable, open and welcoming community of those who care. Gratitude is our motivation and service is our mission.

The VA has adopted Core Values and Characteristics that apply universally across the Department. The five Core Values define “who we are,” our culture, and how we care for Veterans, their families and other beneficiaries. The Values are Integrity, Commitment, Advocacy, Respect and Excellence (“I CARE”).

America's Veterans need you! To find out more, go to http://www.va.gov/jobs/.

Duties

DUTIES: The position is located within the Non-VA (Veterans Affairs) Purchased Care Department at the Veterans Affairs Central Western Massachusetts Campus in Leeds, MA. Duties include but are not limited to:

  • Determines administrative eligibility for all Non-VA programs for authorization and claim adjudication;
  • Reviews claim folders and military/medical/administrative records for claim adjudication;
  • Communicates with Veterans Benefits Counselor for changes on disability status;
  • Researches and resolves claim complaints/inquiries from individuals, physicians, etc;
  • Ensures fees are not paid in excess of those approved under contract or by medical rates;
  • Prepares briefs/appeals documenting decision for payment/denial of medical claim;
  • Prepares memorandums and suspension letters;
  • Reviews statistical data and completes monthly/quarterly reports;
  • Audits bills for obligation against appropriated funds
  • Classifies documents as to proper control point, budget object code, cost center, etc;
  • Ensures the technical and clerical correctness of invoices/supporting documentation.

 

Work Schedule: Monday thru Friday 8:00am – 4:30pm

 

   ***RELOCATION EXPENSES AND/OR INCENTIVES ARE NOT AUTHORIZED***