Supervisory Financial Administrative Specialist - Billing

The Supervisory Financial Administrative Specialist • Billing serves as a supervisor in the Billing Department and reports directly to the Billing Manager falling under the chain of command of the Chief Operating Officer and is responsible for performing a broad range of duties to achieve the established expected results for medical billings, and reimbursable and non-reimbursable collections. Major duties and responsibilities include, but are not limited to: Ensures that all billing information entered and maintained in the automated billing system is timely and accurate. Reviews health insurance policy provisions to identify and comply with individual plan requirements. Prepares bills for healthcare services, equipment, and/or medications. Maintains accurate claims data. Initiates claims for healthcare services, equipment and/or medication in accordance with prevailing guidelines. Investigates gaps in support of billing functions for improved outcomes and presents solutions to Billing Manager. Prepares correspondence, reports, memoranda or other written products concerning a wide range of issues surrounding billing activities. Establishes and maintains effective working relationships with internal and external customers. Interprets billing laws, rules, regulations, and policies, developing and implementing local policies, and defining administrative requirements. Monitors and evaluates administrative activities. Ensures all assigned staff receive quality and timely technical training applicable to their position and comply with all Federal, VA, VHA, OCC and CPAC mandated training requirements. Establishes and maintains effective working relationships with others throughout the organization as well as externally. Prepares and delivers briefings to Billing Manager on findings and recommendations on problems in organizational structure, staffing, administrative procedures, work processes or workload distribution. Directs, coordinates and/or oversees work performed by subordinate staff. Plans work to be accomplished by subordinates while establishing and adjusting short-term priorities and deadlines as needed. Establishes standards for the performance of work. Conducts periodic evaluations of the work performance of subordinates to review for quality and productivity. Observes staff performance, providing performance and productivity input and taking appropriate steps to recommend and/or effect changes when needed to enhance employee performance. Makes decisions on work problems presented by subordinate employees and other personnel. Presents recommended enhancements to department processes and tools in regard to productivity and workflow. Performs other related duties as assigned. 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: Monday • Friday, 8:00 am • 4:30 pm Compressed/Flexible: May be available at supervisors discretion Telework: 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#: Supervisory Financial Administrative Specialist • Billing/PD15013A and PD54197A Relocation/Recruitment Incentives: Not authorized Critical Skills Incentive (CSI): Not approved Permanent Change of Station (PCS): Not authorized To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/26/2026. 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-09 position you must have served 52 weeks at the GS-07. For a GS-11 position you must have served 52 weeks at the GS-09.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: GS-09: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade, GS-07, in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: 1) Reviews health insurance policy provisions to identify and comply with individual plan requirements. 2) Establishes and maintains effective working relationships with internal and external customers. 3) Monitor and evaluate administrative activities. 4) Plans work to be accomplished by subordinates while establishing and adjusting short-term priorities and deadlines as needed. 5) Present recommended enhancements to department processes and tools in regard to productivity and workflow. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a master's degree or equivalent graduate degree, or (2) two full years of progressively higher-level graduate education leading to such a degree or LL.B. or J.D if related. OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and graduate level education. GS-11: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade, GS-09, in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: 1) Provides regular and timely positive feedback and constructive criticism on productivity, quality, teamwork, and prioritization. 2) Plans and organizes work activities for staff. 3) Ensures outpatient and pharmacy encounters are manually added to Claims Tracking. 4) Monitors key reports such as Daily Billing WIP, Billed Revenue, Review Bill Me, and Claim Scrubber Usage. 5) Runs daily report to capture billed revenue and any deficiency trends/increases. 6) Documents staff Billing productivity and hours worked then elevates findings and plans for remedial action to the Billing Manager. 7) Runs report to identify re-coded inpatient cases, which may require corrective action. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or LL.M., if related. OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and education beyond that required for the GS-09 level. 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/. You must be a U.S. Citizen to apply for this job To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Selective Service Registration is required for males born after 12/31/1959 Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required. Subject to background/security investigation Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) A one year supervisory probationary period will be required if not previously completed. As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.