About this role

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/.

Source listing: usajobs