Contact Representative

Full Job Description

About the Position: This position is located at Naval Health Clinic New England, Newport, Rhode Island.

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.

30 Percent or More Disabled Veterans 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 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 utilizing multiple automated health records systems; preparing lecture services and group counseling regarding health care related benefits; and providing information to assist with health care issues such as access, payment of bills, and/or eligibility issues.

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

OR Education: One full year of graduate level education in the field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as healthcare administration, healthcare management or case management.

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:

• Serve as point of contact on health benefit programs.
• Provide information about enrollment in Tricare.
• Provide medical claim appeal procedures/processes to beneficiaries.
• Review military personnel orders and letters of authorization for medical treatments.
• Contact beneficiaries to resolve inconsistencies with documents or incomplete data to support medical/dental claims.
• Assist beneficiaries to access care or other benefits under other medical programs.