About the Position: This position is located in the TRICARE Operations Department, Directorate for Healthcare Business, Naval Medical Center Camp Lejeune, North Carolina under the Directorate of Administration - TRICARE Operations

Duties

Serves as a point of contact for matters relating to all health benefits programs available to active duty and retired members, as well as TRICARE for Life, of the uniformed services and their dependents. Provides information and assistance based upon personal, written and telephone inquiries concerning both inpatient and outpatient medical care. Assists beneficiaries in obtaining the required care by servicing as a resource point in obtaining care for patients. Provides guidance to beneficiaries concerning program requirements for preauthorization and other prerequisites. Acts as the Debt Collection Assistance Officer (DCAO). Assists with development, implementation and monitoring of the TRICARE Prime enrollment plan for the medical center.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• A Personnel Security Investigation is required.
• Incumbent will be required to receive any command required vaccinations, such as the annual flu shot, which will be provided by the command. Only where it is medically contra-indicated or for religious reasons will employee exemption be granted.
• This position may have a Temporary Duty (TDY) or business travel requirement of 25% of the time.
• This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required.

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)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.) 13473Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician EligiblePriority Placement Program, DoD Military Spouse Preference (MSP) EligiblePriority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability RetirementPriority Placement Program, DoD Retained Grade Preference 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. GS-09 Specialized Experience: One year of specialized experience which includes assisting active duty, retired members of the uniformed services, and their dependents with benefit program inquiries; providing beneficiary counseling to military personnel for a medical treatment facility; utilizing automated benefit enrollment systems, such as Defense Enrollment Eligibility Reporting System (DEERS), to facilitate registration for participants; reviewing medical claims discrepancies to resolve beneficiary concerns. This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-07). You will be evaluated on the basis of your level of competency in the following areas: Computer SkillsInformation ManagementInsuranceProblem 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).

Education

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.

Contacts

• Address JT-DHA-DD83DX DHA NC COAST MKT-LEJEUNE DO NOT MAIL Camp Lejeune, NC 28547 US
• Name: Army Applicant Help Desk