About the Position: This is a Permanent position with the General Leonard Wood Army Community Hospital, Clinical Services Office at Fort Leonard Wood, Missouri. This is a developmental position and applicants may be selected at any grade level with non-competitive promotion potential to the target grade of the GS-09. Non-competitive promotion potential to the target grade is based on time-in grade requirements and demonstrated ability to perform the higher graded duties.

Duties

The duties of this position are for the full performance level. The duties at the GS-07 and GS-08 are the same but with closer than normal supervision. Serve as a Contact Representative performing duties such as coordinating beneficiary counseling and assistance, coordinating TRICARE marketing and education to include Access to Care at GLWACH, and providing debt collection assistance. Ensure health benefit information is available for beneficiaries and serves as beneficiary advocate and problem-solver providing dedicated service to Military Health System (MHS) beneficiaries. Act as liaison to resolve issues and coordinate with Market Support Office (HEALTH NET), Managed Care Support Contractors (MCSCs), the claims processor, and other concerned parties to best meet the beneficiaries’ needs. Respond to beneficiary, provider, and congressional inquiries on TRICARE issues and resolves access-to-health care complaints, assuring that beneficiaries get the services and benefits that are appropriate. Utilize a web based database, the Assistance Reporting Tool (ART) collects and tracks all cases, categorizing caseload by data elements and timeliness of resolution. Assist beneficiaries in determining the validity of collection agent claims/negative credit reports received for debts incurred as a result of medical/dental care under the TRICARE Program. Notify by telephone or in writing, provider(s), collection and/or credit reporting agencies, law firms that the beneficiary's case is being reviewed by the MCSC. Provide pre-deployment and post deployment TRICARE briefings for Reserve and National Guard members as requested. Responsible for monitoring and correction of Patient Identification Transfer (PIT) errors. Monitor enrollment into the GLWACH and makes enrollment or impalement changes as directed by Supervisor.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This position requires a Criminal Background Investigation.
• This position has a mandatory seasonal influenza vaccination requirement and is therefore subject to annual seasonal influenza vaccinations.
• This position requires the employee to have a Hepatitis B immunization series as well as an immunization screening as a condition of employment.
• This position requires the employee to effectively communicate orally and in writing in English and in a grammatically correct manner in order to communicate with patients, and to consult with peers and other staff members.

Qualifications

Who May Apply: US Citizens 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 GS-07: One year of specialized experience equivalent to the GS-06 grade level in the Federal service which includes: 1) Counseling patients on available health insurance benefit options; AND 2) Utilizing an automated database to facilitate quality patient care. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06). Specialized Experience GS-08: One year of specialized experience equivalent to the GS-07 grade level in the Federal service which includes: 1) Counseling patients on available health insurance benefit options; 2) Maintaining formal documentation process for tracking actions and problem resolution in regards to patient's insurance claims; AND 3) Utilizing an automated database to facilitate quality patient care. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-07). Specialized Experience GS-09: One year of specialized experience equivalent to the GS-08 grade level in the Federal service which includes: 1) Counseling patients on available health insurance benefit options; 2) Maintaining formal documentation process for tracking actions and problem resolution in regards to patient's insurance claims; 3) Utilizing knowledge of hospital policies and procedures to clarify and answer a variety of health insurance questions; AND 4) Utilizing an automated database to facilitate quality patient care. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-08) You will be evaluated on the basis of your level of competency in the following areas: Customer Service (Clerical/Technical)Oral CommunicationPatient Rapport and Healthcare AdvocacyWriting

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-DD83CM DHA STAND-ALONE MKT-LEONARD WOOD ACH DO NOT USE Fort Leonard Wood, MO 65473 US
• Name: Army Applicant Help Desk