Summary

This Vacancy Announcement will be used to fill multiple vacancies at each of the locations included and may be used for additional locations as new vacancies occur.

Duties

• Determine eligibility of patients for Purchased Referred Care (PRC) and prepare authorization or denial documents based on applicable PRC regulations, policies, and practices.
• Prepare referrals with correct patient information, medical report, and estimated charges of medical care.
• Monitors activities and records pertaining to the fiscal management of Purchased Referred Care (PRC).
• Functions in a liaison capacity to both vendors and recipients of PRC by telephone, electronic mail, and written correspondence.
• Explains and interprets regulations and policies to health service providers and recipients as well as IHS personnel.

Requirements

Conditions of Employment

Selectee may be subject to a probationary / trial period

ESEP appointees typically serve a two year trial period

U.S. Citizenship is required

Selective Service Registration is required for males born after 12 / 31 / 1959

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.

On-call hours or standby duty may be required.

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.

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, GS-05 : Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and / or tasks : Examples include : Respond to inquiries and requests through telephone, correspondence and personal visits.

Experience in funds control techniques and monitoring and accounting for funds allotted.

MINIMUM QUALIFICATIONS, GS-06 : Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and / or tasks : Examples include : Assure funds have been obligated within deadlines, unused obligations are cancelled and re-obligated.

Assist in determining patient eligibility. Maintain obligation registers regarding funds for inpatient and outpatient services.

MINIMUM QUALIFICATIONS, GS-07 : Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector performing the following type of work and / or tasks : Examples include : Experience in applying policies, procedures, rules and regulations when determining patient eligibility, availability of services and identification of fiscal resources.

Manage funds control techniques to account for allotted funds and preparing statements and reports.

In addition to meeting the Minimum Qualifications, you must meet the Typing Proficiency Requirement below.

TYPING PROFICIENCY REQUIREMENT : In addition to meeting the experience requirements, applicants for these positions must show possession of the following typing skill.

Applicants may meet these requirements by passing the appropriate performance test, presenting a certificate of proficiency from a school or other organization authorized to issue such certificates by the Office of Personnel Management local office, or by self-certifying their proficiency.

Performance test results and certificates of proficiency are acceptable for 3 years. Agencies may verify proficiency skills of self-certified applicants by administering the appropriate performance test.

Must be able to type at least 40 words per minute based on a 5-minute sample with three or fewer errors.

Time In Grade

Federal employees in the competitive service are also subject to the Time-In-Grade Requirements : Merit Promotion (status) candidates must have completed one year of service at the next lower grade level.

Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).

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 Qualifie d.

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.

• Administrative Support
• Oral Communication
• Technical Competence
• Technology Application
• Writing

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, 06 / 07 / 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 : .

Current or former Federal employee : Include your most recent SF-50 or if Reinstatement eligible include your Career SF-50.

Noncompetitive eligibles : Submit additional documents to prove your eligibility to apply to this vacancy.

Transcripts : You are encouraged to submit copies of transcripts (official or unofficial) although not required at the time of application.

You must list your courses including titles, credit hours completed, and grades. Official transcripts 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 pm (Eastern Standard Time) of the closing date : 06 / 07 / 2024

The first Cut-off date for receipt / referral of applications to be considered for available vacant positions will be 14 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.

If you are relying on your education to meet qualification requirements :

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications.

Therefore, provide only the attendance and / or degrees from .

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

PDN-9a4eaf67-5a41-48c2-b1ed-39f3575854cd

Last updated : 2024-05-17