CONTACT REPRESENTATIVE

About the Position: Serves as the point of contact on matters relating to health benefits programs available to eligiblebeneficiaries. Provides information and assistance based upon personal, written, or telephoneinquires concerning both inpatient and outpatient medical care under the USHBP and medical carefrom civilian sources under the TRICARE program.

Major duties

• Provides information and assistance based upon personal, written, or telephone inquires concerning both inpatient and outpatient medical care
• Explains the order of priority of entitlement to benefits from other sources such as VA, dental programs, Medicare, Medicaid, FEHBP, and insurance through employment and/or private insurance.
• Maintains a continuing cooperative relationship with various agencies to include Office of the Lead Agent, other military Medical Treatment Facilities (MTFs), and fiscal intermediaries
• Provides advisory services on benefits offered through the TRICARE program
• Explains issues to consumers that affect rates, payments, entitlements, waivers, and reconsideration rights
• Serves as the Debt Collection Assistance Officer (DCAO) and follows up and investigates claims in accordance with program guidance.
• Provides benefit briefings to eligible beneficiaries at various installation functions such as military retirement briefings, newcomer’s briefings, commander’s calls, and spouse orientations.

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 Veterans Current Civilian Employees of the Defense Health Agency (DHA) Current Permanent Department of Defense (DoD) Civilian Employee Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce Excepted Service Overseas Family Member Appointment Family Member Preference (FMP) for Overseas Employment Interagency Career Transition Assistance Plan Land Management Workforce Flexibility Act Military Spouse Preference (MSP) for Overseas Employment Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible Priority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement Priority Placement Program, DoD Retained Grade Preference Eligible Veterans 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-05 grade level in the Federal Service in serving as point of contact on matters relating to health benefits programs available to eligible beneficiaries by providing detailed advice on the benefits covered information concerning available medical services and related matters.

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-05).