Beneficiary Services Representative (PEBLO) - Hurlburt

CABAN RESOURCES, LLC•Hurlburt Field, FL

About The Position

Serves as the Physical Evaluation Board Liaison Officer (PEBLO) for a medical treatment facility and its geographic area of responsibility. Provides Disability Evaluation System (DES) guidance in accordance with Department of Defense guidelines; collects data; coordinates medical care; advises service members, commanders, and stakeholders; and performs procedural work related to Medical Evaluation Board (MEB) processing and Temporary Disability Retired List (TDRL) reevaluations. Supports active duty and Reserve Component members and commanders on program requirements, military benefits, legal rights, and appeals. Coordinates aeromedical evacuation and other patient travel needs, fitness-for-duty determinations, line-of-duty processing, and other DES requirements. Provides Physical Evaluation Board findings to service members and medical staff, tracks cases from referral through final disposition, and guides members throughout the DES process. The role is responsible for assembling and forwarding required case records to relevant organizations and stakeholders, maintaining case documentation and medical information, coordinating appointments and referrals, and helping prepare appeals and rebuttals. It serves as a liaison among service members, commanders, healthcare professionals, case managers, military offices, the Physical Evaluation Board, and Department of Veterans Affairs organizations. The position also supports training, reporting, performance analysis, and program documentation. Training includes orientation, on-the-job training, annual refresher or continuing education, computer-based training, monthly teleconferences, and ongoing communications. Travel for an IDES training workshop may be required at the Government's discretion every two years; travel and reimbursement follow task order requirements. Training is to follow Warrior Care Policy Training Standards and Performance Objectives Guidebook.

Requirements

  • Associate degree in business administration, management, or health care organizations from an accredited college or university.
  • Either two years of experience as a PEBLO within the DoD military health system in the last six years, five years of experience working in a civilian disability program, or two years of experience as a VA Medical Service Coordinator (MSC).
  • Ability to plan, organize, and manage functions and staff within a medical treatment facility.
  • Knowledge of military healthcare organizational structure, and of issues, policies, procedures, and operations related to healthcare delivery system management.
  • In-depth knowledge, experience, and training to handle complex fitness-for-duty and physical disability evaluation cases.
  • Tact, diplomacy, and restraint when counseling customers and explaining entitlements, benefits, and responsibilities.
  • Effective interpersonal communication and customer service skills, including mastery of oral and written communication methods and practices.
  • Ability to motivate, train, and work effectively with a diverse workforce, draw realistic conclusions, and recommend viable solutions.
  • Ability to gather data from multiple sources, conduct statistical analysis, and prepare statistical reports and recommendations for improvement.
  • Skill in applying fact-finding, analytical, and problem-solving methods and techniques.
  • Knowledge of DES processing regulations, instructions, procedures, and policies to support timely case processing.
  • Practical knowledge and understanding of the TRICARE program.
  • Ability to meet physical requirements that include prolonged walking, standing, sitting, or bending.
  • Ability to complete required IDES and PEBLO training, including computer-based training and teleconferences.

Responsibilities

  • Obtain, assemble, and forward required documents and records to relevant organizations and IDES stakeholders, including the VA Medical Service Coordinator, local MEB, IPEB, and FPEB.
  • Ensure line-of-duty processing is completed for each IDES case.
  • Explain rights, benefits, privileges, and obligations to military personnel of all ranks and branches, retirees, and families involved in IDES.
  • Coordinate evaluation appointments, follow-up appointments, and appropriate referrals related to benefits.
  • Guide and assist the legal next of kin when a service member is incapacitated or incompetent for pay purposes and unable to manage their legal affairs.
  • Serve as liaison among service members, commanders, healthcare professionals, case managers, patient administration personnel, service-specific offices, the PEB, and wounded warrior program representatives.
  • Process Review-in-Lieu-of (RILO) MEB cases for assignment limitation codes as required by regulations and guidance.
  • Receive and respond to inquiries from beneficiaries, DoD components, other agencies, and interested parties.
  • Connect members with appropriate points of contact across the Military Health System, service agencies, and Department of Veterans Affairs organizations.
  • Assist with appeals, impartial medical reviews, and rebuttals, and coordinate assignment of service members' legal counsel.
  • Update local program documentation, including patient handouts, training documents, checklists, and operating procedures.
  • Maintain and safeguard hard-copy and electronic medical information, and disclose it only to authorized personnel in accordance with Privacy Act and HIPAA requirements.
  • Advise medical professionals and other staff on regulatory and procedural aspects of profiling and disability processing; provide MEB orientation and on-the-job training as required.
  • Track assigned cases, assess performance against established standards, and update cases in the Veteran Tracking Application or another tracking tool.
  • Analyze data using statistical methods and tools, and present IDES performance through reports, charts, briefings, and other materials.
  • Provide reports, briefings, and training, and respond to inquiries from senior leaders.
  • Coordinate patient travel for members appealing to the FPEB, including required temporary-duty travel arrangements.
  • Initiate actions to facilitate Emergency Family Member Travel for very seriously ill or injured service members.
  • Advise service members and medical staff on PEB findings.
  • Plan, organize, and manage functions and staff within an MTF to meet program objectives.
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