Job Details

The Eligibility/Enrollment Clerk position is in the Enrollment/Means Test Unit Section under the supervision of the Member Services Supervisor. The incumbent is responsible for verifying and certifying the legal eligibility of applicants seeking medical treatment and/or benefits.
Major Duties for this position include:
* Make the initial determination whether the veteran is legally eligible for dental benefits by reviewing military service records and/or letters of awards for service-connection.
* Investigate authorizations, orders, and/or utilizes the Computerized Patient Record System (CPRS) to review medical records, forwards for supervisory approval and submits all documents for payment utilizing appropriate control point for reference.
* Act as liaison between vendors and Fiscal Service for invoices pending payment.
* Evaluate and asses prisoner of war status, combat veteran status, financial (means test) standards, and other special eligibility criteria.
* Initiate computer inquiries through HINQ or VIS computer databases to determine eligibility for each application received to continue processing.
* Access Hospital Inquiry System (HINQ), Veterans Information Solution (VIS),Veteran Benefit Management System (VBMS), Health Eligibility Center (HEC), and Regional Office (RO) as necessary to determine Veteran eligibility for care, priority group and VA benefits that they qualify for.
* Maintain the HINQ Suspense File and ensure all updates are completed in VistA.
Work Schedule: Monday-Friday 8:00am - 4:30pm (work hours may be further discussed during interview process).
Telework: Not Available.
Virtual: This is not a virtual position.
Position Description Title/PD#: Patient Services Assistant/40262A.
Relocation/Recruitment Incentives: Not authorized.
Financial Disclosure Report: Not required.
Bargaining Unit Position: No
The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.