About the Position: This position is with the Naval Hospital Jacksonville, FL. TRICARE Operations, Referral Management. Office setting with 5 other staff members. Hours of work can vary from 0630-1630, M-F. Applicant can expect to become proficient in clear and legible process, referral process, knowledgeable of TRICARE policy and customer service. This is a Direct Hire Solicitation

Duties

Research, document and track referrals in a referral tracking database. Manage Care Support Contractor authorizations and beneficiary claims. Review and close out clear and legible reports (CLR). Answer incoming phone calls and provides information to beneficiaries, network providers and staff. Contact network provider offices to request CLRs for care received in the network. Extract reports and initiates appointment reminder calls for patients deferred to the network for specialty care.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This position has a mandatory seasonal influenza vaccination requirement and is subject to annual vaccination. A candidate selected to this position will be required to sign a statement consenting to annual seasonal influenza vaccination.
• This position may be eligible for Situational/Ad-HOC Telework.

Qualifications

Who May Apply: US Citizens In order to qualify, you must meet the specialized and/or education 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 assisting with referral processes using automated systems, answering phone calls and maintaining files and documentation using a filing system. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-04). OR Education: Four years of education above the high school level obtained in an accredited business, secretarial or technical school, junior college, college or university. 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 your semester hours of education beyond two years (total semester hours minus 60) by 60. Add the two percentages. Proficiency Required:This position requires a qualified typist. A qualified typist can type 40 words per minute based on a 5 minute sample with three or fewer errors.

Education

FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address JT-DHA-DDAAFL DHA JACKSONVILLE MKT-JACKSONVILLE DO NOT MAIL Jacksonville, FL 32214 US
• Name: Army Applicant Help Desk
• Email: [email protected]