Advanced Medical Support Assistant (Enrollment & Eligibility)

Quick Facts

Advanced Medical Support Assistant (Enrollment & Eligibility)

Description

Serve as an Advanced Medical Support Assistant in the Health Benefits/Eligibility and Enrollment Office, determining eligibility and entitlement to VA healthcare benefits by interviewing applicants. You will enter demographic data plus insurance and income information received in person, by telephone, mail, or online. You act as the first point of contact for complex calls and manage advanced benefit verification, documentation, and patient enrollment support.

Responsibilities

• Respond to inquiries from Veterans, staff, and outside agencies regarding healthcare benefit applications and eligibility
• Use and navigate Veterans Health Information Systems (VISTA) and the electronic health record (CPRS) to obtain and identify call information
• Verify eligibility and entitlement using systems and methods including income assessments and relevant VA enrollment/benefits tools
• Manage catastrophic disability and hardship requests; explain applicable laws and advise Veterans on entitlement and co-payment requirements
• Generate patient identification card requests (VIC/VHIC) and update enrolled patient information (health insurance, income assessments, pharmacy co-pay exemptions)
• Complete applications to ensure timely enrollment; monitor NEAR list and schedule new patient appointments per VHA directives and local policies
• Support interdisciplinary care delivery by coordinating communications, follow-up care, and secure messaging via MyHealthyVet as needed; document encounters and manage pre-visit readiness information

Requirements

• U.S. citizenship
• High school diploma (or GED)
• Proficiency in written and spoken English
• Completion of all required hiring steps including an online assessment
• Subject to background/security investigation
• Selective Service registration (if applicable)
• Complete required onboarding and provide acceptable identification
• Pre-employment urinalysis screening (if selected)
• Seasonal influenza vaccination participation requirement
• Successful completion of a 1–2 year trial period

Benefits

A comprehensive U.S. federal benefits package is available; eligibility depends on position type and appointment status (contact the hiring agency for specifics).