Contact Representative (Benefits)

Full Job Description

Join the Indian Health Service as a Contact Representative (Benefits) and make an impact.

The role involves identifying patients eligible for alternate resources, assisting with enrollment, advocating on their behalf, and acting as a liaison between the IHS work unit and non-IHS providers and facilities.

USAJOBS Help Center - Update your resume now so it meets new resume requirements To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

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; social).

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

You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: experience working with a health care delivery system or similar system to respond to inquiries from individuals as they relate to the type of health services the medical facility can provide and to solve problems or educate individuals about medical facility health programs and procedures including tasks such as assisting patients in applications for entitlement for health related programs, interviewing patients and or a family member to obtain pertinent and accurate information, research current information involving changes in rules and regulations for alternate resources and determines the eligibility of patients seeking health care.

Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level.

Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement.

Major Duties:

There MAY NOT be immediate vacancies at all locations. Assists and works with the multiple alternate resources in utilization of all alternate resources.

Provides information on rights and benefits of multiple alternate resources, and tactfully advises patient of non-payment or denial of claims.

Identifies and follows up on pending applications, working closely with families and agencies involved on the concept that the patient is not discriminated against because they are IHS recipients.

Ensures timely entry of all Private Insurance, Medicaid, and Medicare information to augment outpatient and inpatient billing efforts.

Works and assists the patient, their families, and all other parties involved in initiating and completing the Medicare and Medicaid applications.