Job Listing
Program Manager - Director - CPAC
Veterans Health Administration · Posted 64 days ago
About the Role
Incumbent is responsible for overseeing and implementing the Consolidated Patient Account Center (CPAC) in a VISN or VISNs. Consolidated Patient Account Centers cover several VISNs in providing oversight of a full spectrum of complex billing and collection processes that has a critical impact on the revenue management operating programs.
What You'll Do
- →***THIS IS NOT A VIRTUAL OR REMOTE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** This position is the CPAC Director, responsible for overseeing and implementing the Consolidated Patient Account Center (CPAC) in a VISN or VISNs.
- →CPACs cover several VISNs in providing oversight of a full spectrum of complex billing and collection processes that has a critical impact on the revenue management operating programs.
- →This position is responsible for managing the Pre-Registration, Insurance Verification, Billing and Collections, Revenue, Utilization Review, First iteration appeals and precertification requirements for the CPAC Customer Service Program.
- →This position also coordinates responsibility and training for intake of patients, coding, fee, and 2nd and 3rd iteration appeals with facility management.
- →In addition to the business functions mentioned above, this position will provide CPAC staff leadership in the management of program information technology, human resource management, third party payer compliance, staff training and education.
- →The incumbent is responsible for the development, implementation, integration, standardization and maintenance of the Business Office, as well as all aspects of the network's efforts for maximizing revenue from sources to include third party insurance billings, TriCare billings, sharing agreements, first party billings, Tort Feasor, and Workers Compensation Claims from veteran patients.
- →Revenue generated is critical to providing quality health care for Veterans served and is expected to be around 10% of the total operating budget annually.
- →The position provides direct staff support to top management, CPAC staff, and staff within all facilities and maintains an expert knowledge of VHA policies in all matters involving this program.
- →This position also encompasses pharmacy copayments, and first and third party billings, Tort Feasors, Workers Compensation cases for veteran patients, Humanitarian, Ineligible Claims, Personal Violence Claims; and Sharing Resource Agreements, such as CHAMPVA and TriCare.
- →The CPAC Director manages and reviews all activities for billing, auditing, collecting and follow-up for all of the above.
- →The incumbent works, in conjunction with medical center management to establish procedures and accountability for the intake of patients.
- →Duties include, but are not limited to: Evaluate the performance of senior managers and supervisors in a health care revenue organization.
- →Presents statistical reports and special analysis to management committees for recommendations and follow-up action.
- →Establish clear accounting and administrative procedures for the operation of the health care revenue program.
Requirements
- ✓You must be a U.S.
- ✓Citizen to apply for this job To be considered for this position, you must complete all required steps in the process.
- ✓In addition to the application and questionnaire, this position requires an online assessment.
- ✓The online assessment measures critical general competencies required to perform the job.
- ✓Selective Service Registration is required for males born after 12/31/1959 Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment.
- ✓A pre-placement physical examination is not required.
- ✓Subject to background/security investigation Selected applicants will be required to complete an online onboarding process.
- ✓Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- ✓Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- ✓Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
- ✓In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
- ✓Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
- ✓There is no educational substitution at this grade level.
Personality Fit
Job ID: 2e4ddbae-e4c3-4e33-afb6-8d1de54780ba
Posted via USAJobs