Health Benefits Assistant
Veterans Health Administration
Veterans Health Administration
San Francisco, California
Employment type not specified
Valid through 8/29/2026
Job description
This position serves as the Health Benefits Assistant (HBA) within Business Service located at the San Francisco VA Health Care System (SFVAHCS). The HBA provides a high level of administrative and data support to Business Service to include the Community Based Outpatient Clinics (CBOCs), as well as to the San Francisco VA Medical Center. The SFVAHCS is a tertiary referral center, treating over 60,000 unique patients.
Duties for the position may include but are not limited to: - Review and determine Veterans' eligibility and enrollment for VA health care; complete and process VA Form 10-10EZR and verify service, financial, and insurance information. - Serve as the primary administrative point of contact for Veterans during their visit, coordinating needs from arrival through departure and providing New Patient Orientation and warm hand-off to scheduling. - Verify service-connected conditions, special eligibility categories (e.g., Combat Veteran, POW, Purple Heart, Agent Orange), and communicate eligibility decisions, priority groups, copay status, and appeal rights. .- Enter, update, and maintain Veteran demographic, insurance, military service, and eligibility data in VistA/DHCP; ensure accuracy for future care, communication, billing, and workload credit. - Review and reconcile administrative discrepancies in the Incomplete Encounter Management Module (IEMM) to ensure proper data transmission and workload capture.- Perform Decedent Affairs duties including completion of death packets, coordination with NOK, clinical staff, funeral homes, and stakeholders, while ensuring full regulatory compliance. - Meet with Veterans and caregivers to complete admissions agreements, review policies, update demographics, and ensure accurate processing of inpatient movements and provider orders. - Process Beneficiary Travel claims, determine eligibility, authorize funds, reconcile vouchers, and arrange transportation using the most appropriate and economical mode. Work Schedule: Full-time; Schedule varies; Subject to change to meet the needs of the Agency Telework: Not Authorized Virtual: Not Authorized Position Description/PD#: Health Benefits Assistant/PD03249A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized