About the Position: The primary purpose of this position is: To provide specialized assistance, counseling, and individualized guidance concerning the Health Benefits including the TRICARE managed health care program. This position is located within the 10TH MDG USAF Academy. 10TH MDG USAF Academy, Dir of Admin, Tricare Operations.

Duties

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

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Work may occasionally require travel away from the normal duty station
• The employee may be required to work other than normal duty hours, which may include evenings, weekends, and/or holidays
• This position may have a mandatory seasonal influenza vaccination requirement and could be subject to annual seasonal influenza vaccinations.
• Applicants tentatively selected for appointment to this position may be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations

Qualifications

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 VeteransCurrent Civilian Employees of the Defense Health Agency (DHA)Current Permanent Department of Defense (DoD) Civilian EmployeeDomestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel WorkforceInteragency Career Transition Assistance PlanLand Management Workforce Flexibility ActMilitary Spouses, under Executive Order (E.O.) 13473Non-Appropriated Fund Instrumentality (NAFI)Non-Department of Defense (DoD) TransferOffice of Personnel Management (OPM) Interchange Agreement EligiblePeople with Disabilities, Schedule APriority Placement Program, DoD Military Spouse Preference (MSP) EligibleReinstatementVeterans 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 specialized experience equivalent to the GS-06 grade level in the Federal service which includes documented experience which demonstrates experience in: 1) Providing counseling and or guidance to patients and/or family members with medical insurance claims, problems, and questions; 2) utilizing automated systems for receiving and or tracking of patient's information; 3) ensuring all patients are eligible for benefits in accordance with policies and regulations. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06). You will be evaluated on the basis of your level of competency in the following areas: Manages and Organizes InformationOral CommunicationProblem SolvingTechnical Competence 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).

Education

Some federal jobs allow you to substitute your education for the required experience to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

Contacts

• Address JT-DHA-DD83AA DHA CO SPRINGS MKT-USAF ACADEMY DO NOT MAIL Air Force Academy, CO 80840 US
• Name: Army Applicant Help Desk