Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistBuffalo, New YorkSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
PERSONNEL SECURITY SPECIALIST United States Air ForcePERSONNEL SECURITY SPECIALISTNiagara Falls, NY$78,091–$101,524 / yearExamples of specialized experience includes Applying knowledge of a wide range of security concepts, principles, and practices to review, independently analyze, and resolve difficult and complex security problems; applies policy direction to contractors and government/military officials, and develop guidance for applying security policy, procedures, techniques, equipment, and methods to a variety of work situations and various levels or degrees of security controls. ACTIVE DUTY SERVICE MEMBERS: The VOW Act requires federal agencies to treat an eligible active duty service member as a veteran, disabled veteran, and preference eligible (as applicable) when applying for civil service positions before the effective release or discharge date.
Clinical Psychologist US Department of Health and Human ServicesClinical PsychologistLockport, NY$103,225–$159,575 / yearYour resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Providing clinical psychological services including evaluation, diagnosis, referral, psychotherapy, crisis intervention, and specialized treatment modalities for mental health problems of children, adolescents, adults and families. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
X-Ray Technologist (CT) US Department of Health and Human ServicesX-Ray Technologist (CT)Lockport, NY$64,924–$93,227 / yearNote: Certain exceptions may apply: 1) Individuals employed by the Federal Government as radiologic personnel before January 13, 1986, may qualify based on evidence of current or satisfactory performance, or certification from a licensed practitioner authorized to prescribe radiologic procedures (such as a physician, osteopath, dentist, podiatrist, or chiropractor). Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
X-Ray Technologist US Department of Health and Human ServicesX-Ray TechnologistLockport, NY$54,307–$84,398 / yearMINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: operating fixed and portable radiographic equipment to perform routine and moderately complex diagnostic examinations; positioning patients and selecting technical factors to produce diagnostic-quality images; assisting with fluoroscopic and contrast procedures under supervision; and maintaining radiology records, examination files, and workload data. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
Dental Assistant US Department of Health and Human ServicesDental AssistantLockport, NY$38,090–$56,610 / yearEducation and Training: For GS-3: Successful completion of (a) a 1-year dental assistant program or completion of l year of a dental hygiene program accredited by the American Dental Associations Commission on Accreditation that included a course in radiation physics; radiation biology; radiation health, safety, and protection; X-ray films and radiographic film quality, radiographic techniques; darkroom and processing techniques; and film mounting; or (b) practical nurse training approved by the appropriate State, territory, or District of Columbia accrediting body. (2) Persons first employed by the Federal Government as radiologic personnel after the effective date of the regulation who (a) received training from institutions in a State or foreign jurisdiction that did not accredit training in that particular field at the time of graduation, or (b) practiced in a State or foreign jurisdiction that did not license that particular field or did not allow special eligibility to take a licensure examination for those who did not graduate from an accredited educational program, provided such persons show evidence of training, experience, and competence, as determined by OPM or the employing agency.
Physician (Multiple Specialties) US Department of Health and Human ServicesPhysician (Multiple Specialties)Lockport, NY$200,000–$400,000 / yearPhysician Specialties: Anatomic & Clinical Pathology, Anesthesiology, Cardiology, Dermatology, Emergency Medicine, Family Practice, General Surgery, Hospitalist, Informatics, Internal Medicine, Neurology, Obstetrics & Gynecology, Ophthalmology, Oral Surgery, Orthopedic Surgery, Otolaryngology, Pathology, Palliative, Pediatrics, Preventive Medicine, Primary Care, Psychiatry, Radiology, Tele-Psychiatry. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination.
Clinical Laboratory Scientist US Department of Health and Human ServicesClinical Laboratory ScientistLockport, NY$72,849–$140,165 / yearBASIC REQUIREMENT(S): Education: A. A Bachelors or graduate/higher level degree from a regionally accredited college/university including courses in biological science, chemistry and mathematics, AND successful completion of a Medical Laboratory Scientist/Clinical Laboratory Scientist program accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. A Bachelors or graduate/higher level degree from an accredited college/university, including 16 semester hours (24 quarter hours) of biological science (with one semester in microbiology), 16 semester hours (24 quarter hours) of chemistry (with one semester in organic or biochemistry), one semester (one quarter) of mathematics, AND five (5) years of full time acceptable clinical laboratory experience in Blood Banking, Chemistry, Hematology, microbiology, Immunology and Urinalysis/Body Fluids.
License Practical Nurse US Department of Health and Human ServicesLicense Practical NurseLockport, NY$46,655–$73,625 / yearSpecialized Experience GS-6: Perform a range of treatment procedures such as insert catheters, administer immunizations, change sterile dressings, and provide wound care, administer medications safely and monitoring for therapeutic or adverse effects, recognize urgent and emergent situations and initiate appropriate emergency interventions, provide patient and family education on health maintenance, medication use, and disease management, assist physicians and RNs with complex procedures and specialized diagnostic tests, and serve as a preceptor or resource to less experienced staff and participate in quality improvement and training activities. Specialized Experience GS-5: Observe, record, and report changes in patients behavior or physical condition, carry out nursing procedures in accordance with established guidelines and care plans, take vital signs, collect specimens, and maintain accurate documentation, set up and maintain medical equipment for procedures., assist physicians and Registered Nurses during examinations and treatments, and provide instructions to patients and families regarding care and follow-up activities.
Medical Technician (Laboratory Support) US Department of Health and Human ServicesMedical Technician (Laboratory Support)Lockport, NY$37,193–$65,599 / yearGS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-04 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Performing CLIA-waived laboratory testing and documenting quality control activities; Collecting routine venipuncture and capillary specimens while verifying patient identity and documentation; Preparing, labeling, storing, and accessioning specimens into laboratory information systems; Maintaining laboratory supplies, equipment, and logs in compliance with biosafety and infection control procedures; Providing laboratory support by distributing reports, instructing patients on specimen collection, and assisting with routine cleaning and sanitizing of laboratory areas. Six (6) months of specialized experience performing technical medical laboratory support work such as performing laboratory tests and examinations (chemical, microbiologic, hematologic and blood banking) and preparing reports of findings or technical support work in a closely related, field such as biological laboratory technician work, that required application of the methods and techniques for the position to be filled.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)Lockport, NY$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Optometrist US Department of Health and Human ServicesOptometristLockport, NY$119,297–$185,885 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Provided primary eye care services by performing comprehensive ocular examinations.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Lockport, NY$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Medical Records Technician US Department of Health and Human ServicesMedical Records TechnicianLockport, NY$40,736–$59,031 / yearHealth information management support functions, including reviewing medical records for completeness; preparing, scanning, indexing, and filing medical documentation into electronic health record systems; conducting quality control checks of scanned records; processing requests for release of information in accordance with Privacy requirements; maintaining medical record tracking logs; retrieving and archiving records; and communicating with healthcare providers and staff to ensure accurate and complete patient records. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)Lockport, NY$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.