Contact Representative

Full Job Description

About the Position: This position is located at 375th Medical Group, Scott Air Force Base, Illinois. - A recruitment or relocation incentive may be authorized.

- Salary negotiation may be available for those candidates who are new to Federal service. - Student Loan repayment may be authorized.

- Non-Federal work experience may be creditable for leave purposes. 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 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 which includes using health information automated systems, verifying insurance benefits for patients, and providing billing or claims information to beneficiaries.

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

Some federal jobs allow you to substitute your education for the required experience in order to qualify.

For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

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 available health benefits programs information to eligible beneficiaries.
• Interpret regulatory health information for eligible individuals.
• Explain order of priority of entitlement to beneficiaries.
• Counsel personnel on rights, benefits, or obligations available through the Tri-Service Medical Care (TRICARE) program
• Provide detailed billing or claims information to beneficiaries.
• Verify eligibility with healthcare agencies for medical services.
• Troubleshoot billing problems for TRICARE beneficiaries or medical providers.
• Report progress towards resolving outstanding billing problems to treatment facility management.