About the Position: Serve as a Contact Representative, located at Womack Army Medical Center with the Directorate of RM Managed Care. Serve as the beneficiary advocate and problem solver, providing dedicated service to all medical health service beneficiaries.

Duties

Counsel patients regarding TRICARE Benefits and Eligibility. Provide Claims processing, enrollment, Other Health Insurance Coordination and Access concerns. Work with Managed Care Support contractors, Service Leads, MEDICARE and MEDICAID Services and VA. Advise on processing procedures and appeal rights. Analyze, research and resolve TRICARE inquiries. Practical understanding of TRICARE contract language, Regional Healthcare issues and other Federal health Benefits programs.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• A favorable National Agency Check with Inquiries (NACI) may be required for this position.
• This position requires mandatory Seasonal Influenza Vaccine.

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. Current Civilian Employees of the Defense Health Agency (DHA)Domestic 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.) 13473Priority Placement Program, DoD Military Spouse Preference (MSP) EligibleVeterans 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 providing information to patients and/or family members on healthcare programs or services; scheduling patient appointments with providers; utilizing healthcare systems to enter and retrieve data. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-07). 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. You will be evaluated on the basis of your level of competency in the following areas: Knowledge ManagementOral CommunicationProblem Solving 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-07).

Contacts

• Address JT-DHA-DDAAFN DHA CENTRAL NC MARKET DO NOT MAIL Fort Liberty, NC 28310 US
• Name: Army Applicant Help Desk