Medical Support Assistant (Advance)
What you'd do
The Advanced Medical Support Assistant serves in the Dental Clinic at the Martinsburg VA Medical Center in Martinsburg, West Virginia. The position directly impacts the administrative and operational aspects of Veteran care delivery, including access management, appointment scheduling, and coordination using advanced clinic access principles, patient processing, customer service, and data integrity.
Major duties
This job will close when we have received 25 applications, which may be sooner than the closing date. The Medical Support Assistant (Advanced) works independently, exercising sound judgment to resolve administrative issues that affect patient care delivery. Duties include reception, daily patient processing, and knowledge to support the Specialty Care Service (Dental Service). The position requires excellent communication skills, effective problem-solving, and the ability to support continuous clinic operations, including staggered shifts or weekend clinics when needed. The AMSA reports directly to the Administrative Officer, Dental Service at the Martinsburg VA Medical Center. Duties may include, but are not limited to: Serves as a primary administrative support resource for outpatient clinics, independently managing complex scheduling and access activities in accordance with VHA and local policies. Responsible for coordinating care between the Veterans Dental hygienist, General Dentist, Specialty Provider, and Dental Laboratory Technicians to ensure the case is scheduled appropriately and proceeds without delay. Performs receptionist duties, both face-to-face and telephonically, including ACD/call room scheduling coverage, providing courteous, timely, and Veteran-centered customer service while safeguarding privacy and confidentiality. Screens and receives incoming calls, determines the nature of requests, and provides accurate information or resolution using established clinic processes and privacy regulations. Using VHA approved scheduling and appointment applications, coordinates, schedules, reschedules, and cancels appointments using advanced access principles; adjusts appointment times, dates, or locations to support contingency plans related to staffing shortages or provider availability. Shifts patients to alternate providers or clinics as needed to ensure continuity of care and compliance with mandated access standards. Manages and performs daily reviews of active and pending consults, ICBWeb, VA Online Scheduling (VAOS), Open Slot Management (OSM), Audiocare communications to ensure accuracy, proper disposition, and timely follow-up, as well as end-of-day review of no-show and/or patient cancellation reports and disposition accordingly. Collects, verifies, and updates Veteran demographic, verifies eligibility, and insurance information to support accurate billing, reporting, and revenue cycle activities. Notifies supervisors or clinic leadership when clinic access is suboptimal or when Veterans cannot be scheduled within required timeframes. Participates in daily team huddles and weekly team meetings focused on patient care planning and management, except when clinic coverage requirements necessitate absence. Coordinates administrative services for Veterans, family members, caregivers, the general public, and interdisciplinary staff to ensure continuity of inpatient and outpatient care. Ensures receipt, processing, and integration of medical and administrative records into the Computerized Patient Record System (CPRS), including initiating scanning when required. Interprets and applies a complex body of laws, regulations, directives, and policies governing VA health care benefits and administrative operations. Develops and maintains effective working relationships with clinical and administrative staff to establish priorities and support direct patient care. Assists with workload distribution among Clinical Support Section employees in accordance with established workflows or job specialization to ensure timely completion of work. Provides guidance, direction, and oversight of Clinical Support Section employees in the absence of the supervisor. Participates in performance improvement, access management, and quality assurance initiatives to enhance clinic operations and Veteran satisfaction. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 613-23062-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
What you need to qualify
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. Candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f). Experience. No experience required. Education. High school diploma, General Education Development equivalency certificate, or proficiency certificate from a State or territorial-level Board or Department of Education. Licensure/Certification/Registration. None. Foreign Education. To be creditable, education completed outside the U.S. must be deemed at least equivalent to that gained in a conventional U.S. program by a private organization specializing in the interpretation of foreign educational credentials. Grandfathering Provision. Employees in VHA in this occupation, under a permanent, appropriate, and legal placement on the effective date of the qualification standard, are considered to have met all qualification requirements for the grade and/or assignment held, including positive education and registration/certification where applicable. For employees who do not meet all the basic or assignment-specific requirements in this standard but met the qualifications applicable to the position at the time they were appointed, the following provisions apply: Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed on a temporary or permanent basis until they fully meet the basic requirements of the standard. Employees retained in this occupation under this provision who subsequently leave the occupation lose protected status and must meet May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-6 In addition to the Basic Requirements listed above, the following experience criteria and KSAs must be met when determining the grade of candidates: Experience: One year of experience equivalent to the GS-5 grade level; Experience is defined as experience that includes, but is not limited to: scheduling, canceling, re-scheduling patient's appointments and/or consults; entering no-show information; monitoring the electronic wait list; preparing for clinic visits; monitoring both inpatient and outpatient appointments for areas of responsibility; ensuring encounter forms are completed in order to obtain appropriate workload credit; verifying and updating demographics and insurance information; processing all emergency and non-emergency transfers to other VA facilities or private hospitals; performing basic eligibility, co-pays and pre-authorization requirements for specific coverage (i.e., TRICARE, sharing agreements, etc.). AND Advanced knowledge of the technical health care process (including, but not limited to, scheduling across interdisciplinary coordinated care delivery and/or care in the community models and patient health care portals) as it relates to access to care. Advanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and/or care in the community operational activities that affect patient flow, and patient support care administrative functions, to include, but not limited to, appointment cycles, outside patient referrals, follow-up care, overbooking, provider availability, etc. Advanced knowledge of medical terminology due to the technical nature of the language utilized by clinicians. Ability to collaborate and communicate with a wide range of medical clinicians across multiple disciplines (e.g., medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting to ensure medical care to patients is met. Ability to independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations. Ability to communicate tactfully and effectively, electronically, by phone, in person, and in writing, with internal and external customers. Assignment. For all assignments above the FPL, the higher-level duties must be of significant scope, administrative independence, complexity, and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. At the advanced level, the Medical Support Assistant (Advanced) (AMSA) performs difficult and responsible specialized and expert administrative patient support while working collaboratively in an interdisciplinary coordinated care delivery model. Work involves specialized administrative judgment and the flexible use of a wide range of clinical flow processes relating to access to care across multiple clinics, specialties, and/or care in the community resources. Recommend changes to existing clinic procedures based on current administrative guidelines. Expertise in utilizing numerous advanced patient systems in support of multiple clinics involved in an interdisciplinary coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability (utilization) to ensure that clinic schedules are closely monitored to effectively support the needs of the clinics, and makes adjustments as necessary. MSAs at this level develop and/or maintain effective and efficient communication with the patient, interdisciplinary coordinated care delivery model teams, VA medical centers, and other agencies (e.g., assist with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities; prepare correspondence to notify patients of normal lab results; manage a system for follow-up care such as consults, tests, etc.). Other assignments at this level include, but are not limited to: processes incoming patient secure messaging through MyHealthyVet and coordinates with care team as appropriate; participates in team huddles and team meetings to manage, plan, problem solve, and follow-up with patient care by sharing information and collaborating with the interdisciplinary team; setting priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs; identifies incomplete encounters and communicates findings to providers; as needed; assists the team to reinforce the plan of care and self-help solutions; enters appropriate information into the electronic record; monitors pre-appointment information and/or requirements to assure readiness for patient visit/procedure; manages patient systems to verify and validate accuracy and resolve issues; evaluates patient information and clinic schedule lists to determine whether the patient requires an immediate appointment; informs team members about shared patients (i.e., those who receive their care at multiple VA centers or those who receive care in the community). Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-06. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements. See VA Directive and Handbook 5019, Employee Occupational Health Service, for requirements.
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