Contact Representative

Military Treatment Facilities under DHA•Fort Leavenworth, KS

3d•Onsite

About The Position

This position is located at Fort Leavenworth, Kansas, and is a direct-hire solicitation. The Contact Representative serves as a point of contact for matters related to health benefits programs available to eligible beneficiaries. The role researches and interprets relevant regulations and provides information and assistance about inpatient and outpatient care under the USHBP and civilian medical care under TRICARE. The representative researches claims-process problems, reviews records, and contacts other offices to establish the status of pending actions, reasons for delays or changes, and the steps or information needed to resolve cases. The position also provides information about alternative sources of care, treatment options, billing, claims processing, and entitlements. Salary negotiation may be available to candidates who are new to Federal service.

Requirements

One year of specialized experience utilizing health information automated systems, verifying insurance benefits for patients, and providing billing or claims information to beneficiaries.
Specialized experience must be equivalent to work performed at the next lower grade or level in the federal service (GS-06).
Qualification must be based on experience; education cannot substitute for the required experience.
Applicants must be U.S. citizens and provide proof of U.S. citizenship.
Appointment may be subject to a suitability or fitness determination based on a completed background investigation.
Selectees must consent to seasonal influenza vaccination or provide a recognized exemption; immunization screening is required.
Hepatitis B immunization is required for positions with direct patient contact; other immunization proof may be required depending on the position.
A one-year probationary period is required.
Direct deposit of pay is required.
The incumbent must report during contingency operations, natural disasters, extreme weather, and other emergencies, and make every attempt to report on time or remain on duty during severe weather.

Responsibilities

Serve as the point of contact on matters relating to health benefits programs available to eligible beneficiaries.
Research applicable regulations and interpret information for eligible individuals.
Respond to personal, written, and telephone inquiries about inpatient and outpatient medical care under the USHBP and civilian medical care under TRICARE.
Research problems in the claims process by telephone or other methods.
Review records and contact other offices to determine the status of pending actions, reasons for delays or changes, and actions or information needed to resolve cases.
Provide information on alternative sources of care, treatment options, billing, claims processing, and entitlement.