About the Position: This position is located in TRICARE Operations, Directorate of Administration, 66th Medical Group at MacDill Air Force Base, Hillsborough County, Florida.

Duties

Troubleshoot problems with health care plans/services to resolve issues between beneficiaries and providers. Provide information to local civilian hospitals, clinics, individual providers, and others as trends or problems are noted in claims processing, eligibility criteria, and treatment authorized under the program. Resolve problems encountered with the delivery and receipt of health care from military and civilian providers. Explain issues to customers that affect rates, payments, entitlements, waivers, and reconsideration rights in relation to their benefits. Provide enrollment assistance, beneficiary program counseling and assistance, and claim processing and clarify eligibility requirements and benefits.

Requirements

• Tuberculosis Test is required.
• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• A Personnel Security Investigation is required.
• All Health Care Providers must be able to obtain and maintain current Basic Life Support (BLS) training and certification that is sponsored or endorsed by the American Heart Association (AHA).
• Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
• Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position
• This position may require the incumbent to work other than normal duty hours, which may include evenings, weekends, and/or holidays.

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 WorkforceExecutive Order (E.O.) 12721Interagency 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 APostal Service/Peace Corps and Other Unique AuthoritiesPriority 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 EligibleReinstatementVeterans Employment Opportunity Act (VEOA) of 1998Veterans Recruitment Appointment (VRA) 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 includes providing information and/or guidance on healthcare costs, services, and benefits of Military Health Plan Programs (TRICARE, CHAMPUS, etc.). 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: Customer Service (Clerical/Technical)Oral 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-06).

Education

This job does not have an education qualification requirement.

Contacts

• Address JT-DHA-DD83BQ DHA STAND-ALONE MKT-MACDILL AFB DO NOT MAIL Tampa, FL 33621 US
• Name: Army Applicant Help Desk