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Health Benefits Assistant

Department of Veterans Affairs
Veterans Health Administration
VA Central Iowa Health Care System, Business Office

Summary

This position is located in the Business Office, Eligibility/Intake Section. The purpose of the position is to serve as a Health Benefits Advisor, to the Business Office. The incumbent is responsible for a wide range of assignments and provides administrative support to the Section, and the cost recovery aspects of this position have a direct impact on the reimbursement of the facility.

Overview

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Accepting applications
Open & closing dates
03/25/2026 to 04/01/2026
Salary
$41,066 to - $53,387 per year
Pay scale & grade
GS 5
Location
1 vacancy in the following location:
Des Moines, IA
1 vacancy
Remote job
No
Telework eligible
No
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Competitive
Promotion potential
None
Supervisory status
No
Security clearance
Not Required
Drug test
No
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Financial disclosure
No
Bargaining unit status
No
Announcement number
CBSY-12916212-26-KJK
Control number
862317500

This job is open to

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Clarification from the agency

This announcement is open to Internal and Status candidates; VEOA eligibles, i.e., preference eligible veterans or veterans who have been separated under honorable conditions from the armed forces after 3 or more years of continuous active service may compete under merit promotion procedures; current, permanent Veterans Canteen Service employees may apply, and will be considered in the same manner as a current VA employee.

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Duties

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Eligibility and Enrollment 25%:

  • Performs technical activities involved with screening, processing, and assisting veterans, nonĀ­veterans, and beneficiaries seeking multiple medical treatments.
  • Interprets and fully understands all eligibility to make initial determinations whether Veterans or non-Veterans meet legal/contractual requirements for medical care.
  • Familiar with government documents, such as DD-214s, to help make such determinations where no documentation exists, he/she is skilled and knowledgeable on how and where to initiate a timely search to obtain necessary documentation.
  • Advises patients on National VA Enrollment, the Uniform Benefits Package, and non-medical benefits.
  • Obtains all key information needed, including but not limited to complete and accurate demographic information, health insurance information, worker's compensation information, etc.
  • Initiates and completes all administrative processing of requests and forms, including but not limited to, applications for care, financial statements, means tests, copay tests, etc.
  • Accurately generates patient data cards for Veteran applying for care using the Veterans Health Identification Card (VHIC) system.
  • Provides on-the-job training to new Health Benefits Advisors. Help develop functional processes and Standard Operating Procedures (SOPs).
Customer Service, Teamwork, Communication 25%:
  • Provide exceptional customer service by exceeding the customer's expectations. Incumbent interacts with a wide range of individuals, with varying degrees of understanding.
  • Counsels Veterans and/or their representatives when adverse decisions are made.
  • Compiles data and information necessary to respond to Congressional, patient, and attorney requests. Responds to inquiries on inpatient/outpatient programs at the local site, as well as at other facilities within the Network area.
  • Handles suicide calls received from Veterans in an appropriate and sensitive manner following national, VISN and facility protocol. Signals co-worker to obtain clinical provider, maintains veteran on-line interacting through approved guidelines until provider arrives to take contact.
Program Support 20%:
  • Investigates discrepancies and affects resolution of problems through collaborative measures between our facility, other VA medical centers and Austin as necessary.
  • Participates in quality improvement, team planning, strategy development, problem solving, and data validation activities which include analysis of information.
Confidentiality and Security 15%:
  • Regular and recurring contact with personnel external to the agency for the obtainment of services, sharing or information and authorization, clarification or denial of payment.
Determining Beneficiary Travel Eligibility 10%:
  • Responsible for gathering, entering and updating demographic, employment, insurance and income (means test) information into VISTA.
  • Provides claims development for all types of eligibility requests for inpatient and outpatient treatment as well as other special programs (i.e. Prosthetics, Dental Services, Nursing Home Care, Humanitarian, CHAMPVA, DoD Sharing Agreement activities, and non-DoD sharing agreements and/or contracts.
  • Assists in orienting and educating clinical and administrative staff, in VA regulations, policies, and procedures on VA National Enrollment and the Uniform Benefits Package, as well as Consolidated Patient Account Center (CPAC), encounter forms and processing of workload.
Clinic Scheduling 5%:
  • Interpret and communicate requirements of VHA Scheduling Directives and complete accurate scheduling responsibilities to include PACT.
  • Making and checkout of appointments, monitoring and correction of encounter data, answering telephones, etc following all established procedures and protocols.
  • Perform other duties as assigned.

Work Schedule: Monday-Friday 7:30am-4:00pm
Virtual: This is not a virtual position.
Position Description/PD#: Health Benefits Assistant/PD30474A
Relocation/Recruitment Incentives: Not Authorized
Critical Skills Incentive (CSI): Not Approved
Permanent Change of Station (PCS): Not Authorized

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Requirements

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Conditions of employment

  • You must be a U.S. Citizen to apply for this job
  • To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job.
  • Selective Service Registration is required for males born after 12/31/1959
  • Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required.
  • Subject to background/security investigation
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)
As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 04/01/2026.

Time-In-Grade Requirement: Advancement to positions up to GS-05 Candidates may be advanced without time restriction to positions up to GS-05 if the position to be filled is no more than two grades above the lowest grade the employee held within the preceding 52 weeks under his or her latest non temporary competitive appointment. The grade may have been in any occupation, but must have been held in the Federal service. If applicable an SF-50 must be submitted with your application materials. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment.

You may qualify based on your experience and/or education as described below:

  • Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-04 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Enter and update data such as demographics, insurance, and income into computerized databases; Prepare correspondence to address complex inquiries from internal and external customers; Monitor and update databases to maintain accurate health enrollment records; Provide guidance and clarification on enrollment and eligibility issues. OR,
  • Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have successfully completed four (4) years of education above the high school level. NOTE: This education can be in any field for which high school graduation or the equivalent is the normal prerequisite and must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. One year of full-time academic study is defined as 30 semester hours, 45 quarter hours, or the equivalent in a college or university, or at least 20 hours of classroom instruction per week for approximately 36 weeks in a business, secretarial, or technical school. 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 the second year) and specialized experience as described above, which meet the total experience requirements for this grade level. NOTE: Transcripts (unofficial or official) must be submitted with your application materials. Education cannot be credited without documentation. Experience must be clearly indicated in your resume.
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/.

Education

A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

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.

Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments.

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

This job opportunity announcement may be used to fill additional vacancies.

The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting current position, grade level, and duty location) and be found well-qualified for this vacancy. To be well-qualified: applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors, and who are proficient in most of the required competencies of the job. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position. You will be assessed on the following Competencies for this position:

  • Accountability
  • Analysis and Problem Solving
  • Attention to Detail
  • Computer Skills
  • Customer Service
  • Customer Service (Clerical/Technical)
  • Decision Making
  • Flexibility
  • Integrity/Honesty
  • Interpersonal Skills
  • Learning
  • Reading Comprehension
  • Reasoning
  • Self-Management
  • Stress Tolerance
  • Teamwork


Your experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hours worked per week. 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. IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on the online assessment may also result in your removal from consideration.

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.

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.

Special Employment Consideration: VA encourages persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., intellectual disabilities, severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more. Contact the Agency Contact for information on how to apply under this appointment authority via the Selective Placement Coordinator.

Veterans Health Administration

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - 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 whole health care to Veterans?

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").

The VA Central Iowa Health Care System provides a full continuum of care between the Des Moines campus and our Community Based Outpatient Clinics (CBOCs) and is one of the Medical Centers that make up the VA Midwest Health Care Network (VISN 23). Employee selected may be expected to perform duties at other duty sites within VA Central Iowa Health Care System based on the needs of the organization.

Agency contact information

Kenneth Kelly
Phone
701-232-3241 X3683
Email
kenneth.kelly2@va.gov
Address
VA Central Iowa Health Care System
3600 30th St
Des Moines, IA 50310
US

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