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Determines appointment type based on the patient's eligibility status (i.e., TRICARE, sharing agreements, collaterals, research patient, VA employee, etc. SummaryThis position is located within the Health Administration Service at the C.W. Bill Young VA Medical Center, Bay Pines, FL and at the Community Based Outpatient Clinics (CBOC) to include; Bradenton, Lee County (LCHCC), Naples, Palm Harbor, Port Charlotte, Sarasota, Sebring and St. Pete. The Advanced Medical Support Assistant embraces and supports the mission, vision, and values of the VA Healthcare System.
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Coordinates administrative functions relating to emergency and non-emergency transfers to other VA facilities or private hospitals and determines appointment type based on the patient's eligibility status (i.e., TRICARE, sharing agreements, [collaterals, research patient, VA employee], etc.
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Serves as TriWest's primary representative to the Military and Veterans' Services Administration (VA) healthcare facilities within a specified geographic area relating to TriWest contracted services for the VA Community Care Network (CCN) and the Department of Defense (DoD) TRICARE West Region managed care support contract.
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Demonstrates knowledge of third-party payer information, including Medicare, Medicaid, VA, Tricare/UHC and commercial payers, to ensure compliance with rules and regulations to maintain accurate reimbursement.
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Order Specialist | Home Plus Pharmacy-Specialty | Full Time - 40 Hours page is loaded. The Order Specialist validates database, customer documents, and insurance records for proper regulation submission.
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Job training for a Petroleum Supply Specialist requires 10 weeks of Basic Combat Training and 10 weeks and 3 days of Advanced Individual Training at Fort Gregg-Adams, VA with on-the-job instructions.
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Two years' experience as a PEBLO within the DoD military health system in the last 6 years; or five years' experience working in a civilian disability program; or two years' experience as a VA Medical Service Coordinator (MSC.
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Responsible for supporting Federal Supply Schedule (FSS)/Veteran Affairs contracting and Tricare program. Responsible for weekly Federal Supply Schedule (FSS), tracking customer notification in Model N to determine if any follow ups with the Department of Veterans Affairs (VA) as needed.
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Manager Responsible for management of the Federal Supply Schedule/Veteran Affairs contracting and Tricare program. Responsible for quarterly Tricare rebate payment calculation. Responsible for processing all VA modifications and updates in MN.
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Also, confirm VA flag is turned on correctly. Responsible for Quarterly IFF reporting to GSA. Solid problem-solving skills to resolve contract issues to the satisfaction of legal, sales & marketing, regulatory, vendors, and internal business partners.
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Proficiency in Model N Government Pricing system and FSS compliance. Responsible for updating Signatory Authority for the two current FSS contracts. Responsible for GP-0005 report and confirm that all dates are set up correctly and the product is an AG or is NFAMP eligible.
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Responsible for weekly Run GP-0007 report and start a few days in previous month to confirm no programs were missed. Responsible for GP-0004 report to be run weekly and analysis is to be done to verify all items and determine whether there are new items that require a new Tracking Customer.
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Bachelors degree or equivalent experience in relevant field required. Excellent communication, negotiation and presentations skills are a must in addition to demonstrated problem solving and analytical thinking.
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A minimum of 2-5 years experience required with successful track record in analytical positions. Responsible for daily/weekly offer letter review, Ketalar, Golden State contract to ensure completeness.
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Must possess thorough knowledge of Federal Supply Schedule regulations. Responsible for processing Coupa related payments (Vermont/Maine) Strong excels and analytical skills and attention to detail.
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