Contact Representative

Full Job Description

About the Position: This position is located at the 9th Medical Group in Beale Air Force Base, California.

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 Department of Army Civilian Employees 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 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 education and/or 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 which includes serving as a point of contact related to healthcare benefits program matters, utilizing automated health records systems; and communicating effectively with customers and/or medical staff.

This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).

OR Education: One full year of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Health Care Administration.

OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%.

To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 18.

Add the two percentages.

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:

• Provide information and assistance based upon personal, written, or telephone inquires concerning both inpatient and outpatient medical care from civilian sources under the TRICARE program.
• Provide detailed advice on the many benefits covered and information concerning services which are excluded by the program.
• Provide 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.
• Provide advisory services on benefits offered through the TRICARE program.
• Explain 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).
• Troubleshoot and resolves problems for TRICARE beneficiaries and providers.
• Resolve complaints of nonpayment or incorrect payment by TRICARE fiscal intermediary to beneficiaries and civilian health care providers.