Program Support Assistant (RUR)
What you'd do
The Program Support Assistant serves within the Revenue Operations (RO) Consolidated Patient Accounts Center (CPAC) Revenue Utilization Review (RUR) department. The CPAC is a regionally consolidated business line established to enhance revenue within the Veterans Health Administration (VHA) using an industry-best model built on regional management of key aspects of the revenue cycle, process standardization, accountability, and economies of scale. Reports to the CPAC RUR Nurse Manager.
Major duties
Some of the major duties include but not limited to: Performs a broad range of duties to assist in achieving the RO/CPAC expected results for first and third party collections - Make decisions/recommendations based on the development and evaluation from various sources. - Make independent decisions in a wide variety of unique clinical scenarios. - Interpret payer review criteria to comply with various health plans and benefit languages. - Adapt to continuing changes in program, technological developments and conflicting requirements. - Use medical terminology to perform reviews of patient medical records for third party pre-certification process. - Verify third party payer requirements for Veterans' insurance coverage. - Respond appropriately to questions and inquiries from third party payers and internal customers. - Exhibit flexibility and consideration when working with internal and external stakeholders. - Reviews data analytics and metric expectations. - Prioritize workload according to department need and leadership direction. Work Schedule: Mon-Fri 08:00am-4:30pm Compressed/Flexible: Available at managements discretion Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Position Description/PD#: Program Support Assistant (RUR)/PD05206A
What you need to qualify
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/11/2026. Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-5 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Support the activities of clinical staff specific to the reimbursement cycle including precertification, continued stay, and clinical appeals/denials management. Review criteria to comply with various health plans and benefit languages Retrieves clinical documentation and data from Veteran's electronic and paper health record that requires additional independent investigation, and judgement 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/.
Before you apply
Federal applications are different: your resume should be 3–5 pages and mirror the language of this announcement. Read our federal resume guide first — it's the #1 reason qualified people get screened out.
Don't miss the next one.
Get an email the moment a similar federal job opens — postings can close in as little as 5 days.