Legal Administrative Specialist (Contact Representation)

Summary

This position serves as a Legal Administrative Specialist (LAS) for the Health Eligibility Center's Enrollment Eligibility Division. The Enrollment Eligibility Division (EED) has primary responsibility for implementing and operating national programs relating to VA enrollment program, eligibility verification, benefits determinations and enrollment processing functions.

Duties

• Major Duties include, but are not limited to: Serves Veterans by answering questions, providing information, and assisting with the application process. Reviews benefit applications for completeness and analyzes various types of legal, financial, and military documents, etc., provided by Veterans and/or their designees. Applies rules and regulations, interprets laws, VHA guidelines, and other federal agency policies to adjudicate and authorize Veterans' eligibility for enrollment and eligibility for VA healthcare benefits. Processes requests to update Veterans' personal, eligibility and enrollment information by entering the information into the Enrollment System and transmits updates to VHA facilities involved in the Veteran's care. Prepares written responses on a broad spectrum of inquiries, from internal and external customers by recognizing issues, topics, or problems. Performs second level quality reviews on all eligibility cases, nationwide, determined to be ineligible for healthcare benefits by VA Medical Center enrollment staff. Provides guidance to VA health care facility staff as to regulations, policies, and procedures relating to financial eligibility assessments, copay tests, and health care. Provides data and training suggestions to HEC training staff and assists them with developing training for HEC and/or the field. Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. Work Schedule: Full-time, 40 hours per week, Monday through Friday, 8 hour shift between 6:45am - 7:15pm Remote: This position is not authorized for Remote work. Telework: This position may be authorized for ad hoc telework. Telework eligibility will be discussed during the interview process. Ad hoc is defined as occasional, non-recurring telework. Virtual: This position is not authorized for Virtual Work. Virtual Work eligibility is for current VA employees that are already subject to the return to in person work mandate in their current position. Definition of Virtual Work: Employee works outside of original hiring duty station at a VA owned or leased space. Return to Office (RTO): RTO mandates are in effect and selectees will be required to report to in person work unless they have an approved exception or an exemption. Any approval for an RTO exception, exemption, or extension will happen after a tentative job offer, but before a final job offer. Position Description/PD#: Legal Administrative Specialist (Contact Representation)/PD07539A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/12/2026. Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-07 position you must have served 52 weeks at the ???????GS-05. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience and/or education as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade ???????GS-05 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: 1) Assist patients by answering questions and providing information. 2) Assist customers/patients with healthcare application process. 3) Assist customers by phone in a call center. 4) Utilize federal regulation, polices, and laws to evaluate healthcare enrollment packages. 5) Collect documentation from patients/customers through an Online portal, fax, and mail system. 6) Process requests to update patient information in an electronic healthcare database. 7) Investigate errors and past transactions in patient files. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have ???????successfully completed one full academic year of graduate-level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position; OR, Successfully completed all the requirements for a bachelor's degree and am claiming Superior Academic Achievement. In order to be creditable under this provision, Superior Academic Achievement must have been gained in a curriculum that is qualifying for the position to be filled. Superior Academic Achievement is based on: (1) Class Standing - You must be in the upper third of the graduating class in the college, university, or major subdivision, such as the College of Liberal Arts or the School of Business Administration, based on completed courses; OR (2) Grade-Point Average (G.P.A.) - You must have a grade-point average of either (a) 3.0 or higher out of a possible 4.0 ("B" or better) as recorded on your official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or (b) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum.; OR (3) Honor Society Membership - You may be considered eligible based on membership in one of the approved national scholastic honor societies listed by the Association of College Honor Societies (https://www.achsnatl.org/). (NOTE: You must attach a copy of your transcripts and/or verification of class standing for further verification.). OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education where the computed percentage of the requirements is at least 100%. To compute the pe…

Education

A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.