Contact Representative

Military Treatment Facilities under DHA • San Diego, CA

2d • Onsite

About The Position

This position is located at Defense Health Network Pacific Rim, Naval Medical Center, San Diego, California, in the Directorate of Command (Staff Patient Experience). The incumbent receives health benefits inquiries from beneficiaries, coordinates with appropriate points of contact to obtain information and assistance and arrange needed medical services, and counsels beneficiaries about their benefits and options. The role also involves researching and presenting estimates of applicable deductibles and copayments, verifying eligibility, and identifying medical care for foreign members under international reciprocal healthcare agreements. A recruitment or retention incentive and advanced leave accrual may be authorized.

Requirements

• One year of specialized experience counseling patients on health benefits, reviewing medical claims for accuracy and correction, and giving formal presentations on health care benefits to beneficiaries and/or civilian organizations.
• Experience must be demonstrated in the resume; education cannot substitute for the required experience.
• Must be a U.S. citizen and provide proof of citizenship.
• Must be able to obtain and maintain eligibility for a Secret security clearance or access for the duration of employment.
• Must complete required immunization screening; hepatitis B immunization is required for positions involving direct patient contact, and additional immunization proof may be required depending on the position.
• Must consent to seasonal influenza vaccination or provide a recognized exemption.
• Subject to pre-employment drug screening and random testing thereafter, including testing based on reasonable suspicion or direct involvement in an on-duty accident.
• Appointment may require a suitability or fitness determination based on a background investigation.
• Subject to a one-year probationary period unless the appointee has previously met the applicable requirements.
• Direct deposit of pay is required.

Responsibilities

• Receive health benefits inquiries directly from beneficiaries.
• Coordinate with appropriate points of contact for information, assistance, and delivery of needed medical services.
• Counsel beneficiaries, clarify benefits, identify applicable options, and advise on the most advantageous action.
• Analyze and research applicable deductibles and copayments and present estimates.
• Verify eligibility and identify medical care for foreign members under international reciprocal healthcare agreements.

Benefits

• A recruitment or retention incentive may be authorized.
• Advanced leave accrual may be authorized.
• Federal employees and their families have access to a comprehensive benefits package; specific benefits depend on position and eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed