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    Duties

    Summary

    The Claims Assistant (OA) performs a variety of administrative functions related to Beneficiary Travel in the Business Office for the Tennessee Valley Healthcare System. The incumbent serves as an expert source of information and guidance to other services requiring knowledge of Beneficiary Travel.

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    Responsibilities

    Work Schedule: Monday - Friday - Tour of duty depends on needs of service and clinic assigned.
    Telework: Not Available
    Virtual: This is not a virtual position.
    Position Description/PD#: Claims Assistant (OA)/PD70218-A
    Relocation/Recruitment Incentives: Not Authorized
    Financial Disclosure Report: Not required

    The Claims Assistant (OA) performs a variety of administrative functions for Beneficiary Travel and serves as the expert source of information and guidance to other services regarding this subject. The incumbent's duties include, but are not limited to:

    • Prepare vouchers for beneficiaries claiming reimbursement of travel expenses in accordance with rates, current mileage, and additional allowances for ferry, bridge, road, and tunnel toll costs, when appropriate.
    • Determine initial individual eligibility for travel reimbursement, where entitlement does not exist, explain policy to veterans and all other concerned.
    • Process claims for payment via computer.
    • Type and mail denial letters to veterans who are not eligible to receive beneficiary travel.
    • Monitor accounts, estimated obligations and actual expenditures, make daily determinations of fund control point (FCP_ needs and necessity for account adjustments.
    • Maintain high knowledge of programs and provide counseling to veterans regarding their inability to pay travel expenses and recommend alternate resources for assistance.
    • Maintain knowledge of DVA regulations, manuals, service policies and other related guidelines which govern the conduct of Beneficiary Travel.
    • Maintain designated fund control accounts, apply sound government accounting techniques for authorizations, obligations and liquidation of accounts.
    • Review and certify each authorization for beneficiary travel reimbursement.
    • Enter special transportation arrangements for patients into computer.
    • Review billings submitted by all vendors to ensure costs for services are no more than charged the general public, and services meet the specifications of VA contractual agreements, and billings are accurate.
    • Process unauthorized claims for ambulance transportation, determine eligibility and prepare appropriate forms for physician's review.
    • Prepare reports of obligations in each separate fund account and project future needs.
    • Maintain budgetary reports in such depth as may be required for supervisor to keep management readily informed as to the ongoing status of the travel function.
    • Contact nursing homes, as well as various DVA Medical Centers relative to travel arrangements necessary to conduct inter-facility transfers of DVA patients. Contact non-DVA hospitals and patients' residences to arrange transportation.
    Must be able to type at least 40 words per minute.

    Travel Required

    Not required

    Supervisory status

    No

    Promotion Potential

    None

This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/559683200. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.