Summary
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.
Summary
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.
Qualifications
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
- 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 Knowledge - Skills and Abilities: 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.
Duties
- 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 - ICB Web - VA Online Scheduling (VAOS) - Open Slot Management (OSM) - Audio care 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