Health Benefits Assistant

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/06/2026. Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-05 position you must have served 52 weeks at the GS-04. The grade may have been in any occupation, but must have been held in the Federal service.

An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.

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: For Specialized Experience at GS-05: At least one (1) full year of specialized experience, which equips you with the particular knowledge, skills, and abilities to perform successfully the duties of the Health Benefits Assistant, GS-05 position, and that is typically in or related to the work of the position to be filled.

To be creditable, this specialized experience must have been equivalent to the GS-04 grade level in Federal service to qualify at the grade 05.Examples of specialized experience include:1) Providing positive, upbeat, customer service while interacting with patients and hospital staff2) Updating and verifying demographic information3) Creating electronic medical files4) Utilization of Microsoft Word, Microsoft Excel and Outlook to complete work assignments5) Providing administrative support: filing, answering phones, greeting customers, misc. office work.

OR GS-05: Substitution of Education for Experience (TRANSCRIPTS REQUIRED): Do you possess Four (4) years of education above the high school level in any field for which high school graduation or the equivalent is the normal prerequisite. This education 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 GS-05: Combination of Education and Experience (TRANSCRIPTS REQUIED): Do you possess a combination of successfully completed education and experience to meet the total experience requirements. (i.e.

6 months of specialized experience and 3 years of education above the high school level). NOTE: Only education beyond the second year can be used in combination with specialized experience to qualify for this grade. 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/.

The Health Benefit Assistant (HBA) must be familiar with all functions of admitting, scheduling, registration, travel allowance, eligibility and enrollment determinations, release of information, medical records, compensation and pension, patient transportation, Veterans Health Identification Card, and the service programs. HBAs will provide the utmost customer service to customers, both internal and external by upholding the ICARE Values definitions at all times.

Duties included but not limited to: Subject matter expert for the Health Benefits section of the Business office 70%The HBA serves as a subject matter expert for the Health Benefits section of the Business office to screen, advise, technical assistance, and assist Veterans and other beneficiaries seeking and receiving medical treatment. Incumbent provides advice, problem resolution, and administrative support for all related healthcare services.

Responsible to ensure accurate, timely and consistent information is entered into the appropriate database. The incumbent registers, schedules and prepares all pertinent data for all admissions by ensuring that all documentation is completed and signed by the admitting physician.

Administratively processes patients for pre-admission and admission to the Medical Center and/or Community Living Center (CLC) including unit assignments, review and assurance that medical records are complete and correct, necessary documentation is available and updated, and patient is properly identified.

Responsible for scanning all medical documents received and ICB scanning 10%The HBA is responsible for scanning all medical documentation into the Computerized Patient Record System (CPRS) to ensure patient safety and patient quality of care. The incumbent follows directives and policies on scanning appropriate documentation into the Veterans medical record. Coordinates with scanning department should any issues or concerns arise on medical documentation scanning procedures.

Process Beneficiary travel requests and Special Mode Transportation requests 10%The HBA processes request for travel pay, entering data into VISTA and/or completing appropriate travel claim forms. Advises Veterans on eligibility/ineligibility to receive travel pay upon request utilizing VHA directives and polices concerning beneficiary travel. Incumbent provides administrative guidance on Special Mode request to the medical team and ensures requests are in compliance with all VHA directives and policies.

Conducts personal interviews with Veterans and/or their family or representative 5% The HBA conducts personal interviews with the Veteran and/or their family or representative to obtain additional assistance in establishing eligibility when the normal method is unsuccessful and the Veteran is seeking emergent medical care and has not been enrolled in the VA Health Care System.

Responsible for requesting logistic and administrative supplies 5%The HBA tracks and requests administrative supplies such as printer cartridges, paper, pens, wristbands, and any other request that is requested from the team. Incumbent will request work orders through the Supervisor, track when action has been completed and follow up with staff to ensure issue has been resolved. Work Schedule: Monday-Friday 12:00 p.m.-8:30pm Virtual: This is not a virtual position.

Position Description/PD#: Health Benefits Assistant/PD00433A