Summary
This position is located in the Business Office (BO) of the White Earth Service Unit. The primary purpose of this position is to function as the Alternate Resources Benefits Coordinator, assuring the identification of patients who are eligible for alternate resources.
The first Cut-off date for receipt/referral of applications to be considered for available vacant positions will be 10 days after the JOA open date.
Duties
- Acts as an advocate for Indian patients in securing alternate resources.
- Identifies persons who may be eligible for alternate resources, by utilizing screening and interviewing methods effectively.
- Assists patients with applications for alternate resources, providing transportation, makes home/hospital visits to interview patients and provides interpretation of rules and regulations.
- Works closely with all facility staff in the identification and utilization of all alternate resources available to the Indian population.
- Follows up on all pending claims and works closely with families and agencies.
Requirements
Conditions of Employment
Must pass pre-employment examination.
Selectee may be subject to a probationary period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959
This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.
Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities.
COVID-19 vaccination is required for all selectees prior to entrance on duty.
Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit .
You will need to set up direct deposit so we can pay you.
Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process.
ANNOUNCEMENT IS OPEN UNTIL FILLED - Applications will be reviewed starting on 9/25/24 & every 10 business days thereafter until filled.
Qualifications
To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.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; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.
MINIMUM QUALIFICATIONS:
Minimum Qualifications for GS-07: 1 Year of Specialized Experience equivalent to at least the GS-06 Grade Level. Specialized Experience is defined as experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position, and that is typically in or related to the position to be filled. Examples include: Acting as an advocate for patients in securing alternate resources, interviewing patients using established alternate resource criteria; following up on pending claims; assisting patient with alternate resource application; making home/hospital visits to interview patient; providing transportation for patient/interpreting and explaining rules and regulations to patient; explaining benefit options, coverages, qualifying conditions or reporting requirements applicable to the individual.
Minimum Qualifications for GS-08: 1 Year of Specialized Experience equivalent to at least the GS-07 Grade Level. Examples include: Providing information or rights and benefits of multiple alternate resources; advising patients of nonpayment or approval of claim; compiling and writing reports; contacting alternate resources to explore reasons for adverse decision, the possibility of reconsideration, whether there are grounds for appeal; completing contacts independently including review of complex records, reconstruction of involved transactions analysis of precedent decisions.
You must meet all qualification requirements within 30 days of the closing date of the announcement.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
If you meet the minimum qualifications requirements for this position, your application will be evaluated and rated under Category Rating selection procedures. Once the application process is complete, a review of your qualifications will be conducted to determine if you are qualified for this job. Qualified candidates will be assigned to a quality category. The quality categories are: Best Qualified, Well Qualified, or Qualified. Within each of these categories, applicants eligible for veteran's preference will receive selection priority over non-preference eligibles.
Please note that if, after reviewing your resume and or supporting documentation, a determination is made that you have inflated your qualifications and or experience, your category rating can and will be adjusted to more accurately reflect your abilities, or you may lose consideration for this position. Please follow all instructions carefully. Errors or omissions may affect your eligibility.
To determine if you are qualified for this position, a review of your resume and supporting documentation will be made and compared against the qualifications as defined in the qualifications section of this vacancy announcement and your responses to the assessment questions. You will be rated based on the information provided in your resume (your resume must state specific duties that relate to this position) and your responses to the assessment questions will be evaluated against the duties you provided in your resume, along with your submitted documentation to determine your ability to demonstrate the following.
- Customer Service (Clerical/Technical)
- Oral Communication
- Reasoning
- Technical Competence
The following links below provide information on how you may be eligible for various hiring authorities. If you are a Veteran, qualified CTAP and ICTAP eligible, or an individual with a disability, please refer to the following links below for additional guidance. CTAP and ICTAP candidates will be eligible for selection priority if it is determined that they have exceeded the minimum qualifications for the position by attaining at least a "well qualified" rating of 85 out of 100. Information about CTAP and ICTAP eligibility is on the Office of Personnel Management's Workforce Restructuring Career Transition website at: . CTAP/ICTAP documentation requirements are listed in the "Required Documents" section of this announcement.
- Veterans, i.e. (VEOA, VRA, and 30% or more disabled) -
- Career Transition Assistance Program (CTAP) -
- Interagency Transition Assistance Program (ICTAP) -
- Schedule A Appointments for the Disabled -
Click here to view vacancy questions: . All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of, 12/31/2024, to be considered.
Required Documents
Resume: You are highly encouraged to use USAJOBS Resume Builder to ensure all required information is included in your Resume. If you use your own resume, curriculum vitae, or any other written form you choose then you must describe your job-related qualifications that includes beginning and ending dates for paid and non-paid work experience, hours worked per week, month and year of employment for each job title listed, annual salary, and description of job duties. Include name and address of employer; supervisor name and telephone number.
Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements:
Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Indian preference will not be given unless a properly signed and dated form is submitted with your application, including any verification by an authorized Tribal Representative or BIA Official of tribal enrollment records. For detailed instructions, see form BIA-4432. Refer to BIA-4432 link: . When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Veterans Preference: If claiming Veteran's Preference provide a copy of your DD214 Form (Member 4 copy). To claim 10-Point Veterans Preference, submit a SF-15 Application () along with the appropriate supporting documentation. For additional information regarding Veterans Preference visit: .
Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP): If you are claiming CTAP/ICTAP, follow the instructions below: .
Licensure, Certifications: Applicants should list their license/certifications on their resume, along with the expiration date, if applicable. Certification of licensure/certification will be required after tentative selection and prior to issuing an official job offer.
You must meet the requirements of the job by 11:59 (Eastern Standard Time) of the closing date: 12/31/2024
The first Cut-off date for receipt/referral of applications to be considered for available vacant positions will be 10 days after the JOA open date.
Your resume and any documents submitted will be retained for three months and may be used at any time during this period. After 3 months, you must reapply to this announcement in order to be considered.