General Clerk III

This is a Position working at the Philadelpia VA Medical Center.

Pay will be $18.85 per hour.

1. Reviews medical record documents and interprets the kinds of care being requested.

2. Reviews and determines veteran's eligibility for Non-VA Care.

3. Reviews Non-VA Care Medical claims and associated documents to verify services rendered were authorized.

4. Process Non-VA Care requests (i.e., reviews consults, obtains approval/disapproval, creates an authorization, enter information and data into the Fee Basis Claims System.

5. Scans and indexes Non-VA Care medical records and verifies Non-VA Care claims.

6. Updates, monitors and tracks all authorized Medical Non-VA Care services in the Fee Basis Claims System.

7. Schedules and checks out appointments in the VistA Appointment Management System.

8. Ensures all required clinical documentation is received and appropriately scanned in VistA Imaging and/or the associated CPRS Non-VA Care Consult is closed.

9. Conducts research to determine authorization and claim status.

10. Provides administrative support for the office, such as, making copies, gathering information from various systems for special reports.

11. Performs research on inquiries by examination of facts in resolving problems

12. Prepares, mails and/or faxes letters to Veterans and Non-VA Care vendors.

13. Maintains close contact with medical and clerical staff in various units and with outside vendors to resolve delays and misunderstanding in the medical administrative aspect of providing care.

14. Resolves issues and answers questions (orally or in writing) presented by Veterans, Vendors, congressional offices and/or Veteran Service Organizations regarding claims and their status.

15. Prints, sorts and mails vendor and Veteran denial letters

16. Works cooperatively with others to generate ideas/suggestions.

17. Coordinates with others to accomplish work-related activities.