Contact Representative

Full Job Description

About the Position: This position is located at U.S. Air Force Academy in Colorado Springs, CO.

Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job.

You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected.

Current Civilian Employees of the Defense Health Agency (DHA) Current Permanent Department of Defense (DoD) Civilian Employee Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce Interagency Career Transition Assistance Plan Land Management Workforce Flexibility Act Military Spouses, under Executive Order (E.O.) 13473 Non-Appropriated Fund Instrumentality (NAFI) Non-Department of Defense (DoD) Transfer Office of Personnel Management (OPM) Interchange Agreement Eligible People with Disabilities, Schedule A Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible Priority Placement Program, DoD Military Spouse Preference (MSP) Eligible Priority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement Priority Placement Program, DoD Retained Grade Preference Eligible Reinstatement Veterans Employment Opportunity Act (VEOA) of 1998 In order to qualify, you must meet the experience requirements described below.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social).

You will receive credit for all qualifying experience, including volunteer experience.

Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application.

Additional information about transcripts is in this document.

Specialized Experience: One year of specialized experience equivalent to the GS-06 grade level in the Federal service which includes providing information on health benefit programs, educating beneficiaries on health care benefits, and utilizing automated health records systems.

You will be evaluated on the basis of your level of competency in the following areas: Accountability Attention to Detail Customer Service Decision Making Flexibility Integrity/Honesty Interpersonal Skills Learning Reading Comprehension Reasoning Self-Management Stress Tolerance Teamwork Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-06).

Major Duties:

• Provides information and assistance based upon personal, written, or telephone inquires concerning both inpatient and outpatient medical care under the USHBP and medical care from civilian sources under the TRICARE program.
• Provides detailed advice on the many benefits covered by the USHBP and provides information concerning services which are excluded by the program.
• Provides specific advice on all eligibility requirements, exclusions of certain diseases or conditions, coverage of medical conditions, out-of pocket cost, coordination of benefits, and any applicable program rules.
• Provides advisory services on benefits offered through the TRICARE program.
• Explains the full range of available benefits and entitlements as well as eligibility requirements, options, limitations, and relationship to the Defense Eligibility Enrollment Reporting System (DEERS).
• Troubleshoots and resolves problems for TRICARE beneficiaries and providers.
• Resolves complaints of nonpayment or incorrect payment by TRICARE fiscal intermediary to beneficiaries and civilian health care providers.