Program Support Assistant

Program Support AssistantThe incumbent provides administrative care coordination support to clinicians and other administrative and other professional staff for purposes of coordinating Non-VA medical care for veterans when inpatient and outpatient, and their VA provider has deemed such care necessary. The OCC program requires administrative scheduling and appointment coordination for diagnostic testing, and referral appointments for many clinical services. This position is responsible for checking eligibility determination for Non-VA medical care in accordance to the MISSION Act, for generating authorizations of pre-authorized medical care. Works closely with the Community Care Nurse Coordinator to ensure proper authorizations are issued, and appropriate correspondence are sent to vendors. Incumbent acts as a liaison between the veteran and the vendors with regard to OCC section and VA clinical services and/or primary care services. Obtains requested medical records including reports, x-rays, labs, and any pertinent information required to complete referrals in the FederalElectronic Health Record (FEHR) or applicable software system. Ensures all necessary components and documentation are distributed to appropriate services at the private institution where service will be provided. Collaborates with OCC nurse to prioritize requested procedure based on urgency (stat and routine), combat veteran status and compensationand pension exams in accordance to policy. The incumbent is responsible for the coordination of all administrative information between the professional staff and veterans. This includes updating and verifying demographic information, data entry, administratively managing referral requests, making and notifying the patient of his/her scheduled appointment with the outside provider(s). The incumbent is responsible for generating correspondence to the veterans and various providers and managing all received correspondence related to care. The incumbent appropriately processes authorizations based on eligibility. Performs assignments involving different processes, complexity, or methods in varying sequence. Applies policies and procedures in resolving non-reoccurring problems. The incumbent reviews and determines veteran's eligibility for specialty programs in the VA Community Care Program and appropriately processes their authorization. He/She discusses eligibility for programs or specific claims with vendors, veterans, and/or service officers. Serves as the point of contact for designated community care claim needs, providing information for Payment Operation and Management when authorizations are required for outstanding claims. Ensures the community care network is appropriate for selection and including timely scheduling. Explains the VA's mandate to collect insurance information to veterans, their families, and other eligible patients.Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.Work Schedule: 0730-1600 Monday-FridayTelework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process.Virtual: This is not a virtual position.Position Description/PD#: Program Support Assistant/ PD06498A