Contact Representative

Military Treatment Facilities under DHA•Fort Carson, CO

2d•Onsite

About The Position

This position is located at Evans Army Community Hospital at Fort Carson, Colorado. The Contact Representative serves as a point of contact for questions about health benefits programs available to eligible beneficiaries. The role provides information and assistance concerning inpatient and outpatient medical care under the USHBP and care from civilian sources under the TRICARE program. The representative researches regulations and interprets relevant information for beneficiaries. They investigate claims-processing problems, review records, and contact other offices to identify the status of pending actions, reasons for delays or changes, and the steps or information needed to resolve a case. They also provide information about alternative sources of care, treatment options, billing, claims processing, and entitlement. This is a direct-hire federal position. A recruitment or relocation incentive and salary negotiation for candidates new to Federal service may be authorized. The position is designated mission essential and inclement-weather essential, requiring the incumbent to report during contingency operations, emergencies, and severe weather. A background investigation and personnel security investigation are required, along with a one-year probationary period. Direct deposit is required, and PCS costs are not authorized.

Requirements

One year of specialized experience utilizing health information automated systems, verifying insurance benefits for patients, and providing billing or claims information to beneficiaries; this is experience typical of the next lower federal grade/level, GS-06.
Must meet the qualification requirement through experience alone; education cannot substitute for the required experience.
U.S. citizenship is required.
A background investigation and Personnel Security Investigation are required.
Direct Deposit of Pay is required.
Must report to work during contingency operations, natural disasters, extreme weather, or other emergencies, and make every attempt to report on time or remain on duty during severe weather.
A one-year probationary period is required.
Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
Resume must clearly describe relevant experience; transcripts are required if qualifying based on education.

Responsibilities

Serve as the point of contact for matters relating to health benefits programs available to eligible beneficiaries.
Research applicable regulations and interpret relevant information for eligible individuals.
Respond to personal, written, or telephone inquiries about inpatient and outpatient medical care under the USHBP and civilian medical care under TRICARE.
Research claims-processing problems 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 additional information needed to resolve cases.
Provide information about alternative sources of care, treatment options, billing, claims processing, and entitlement.