Contact Representative

Job Details

Qualifications & Requirements

Who May Apply: US Citizens 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 of specialized experience which includes: utilizing health information automated systems, verifying insurance benefits for patients, and providing billing or claims information to beneficiaries. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

Position Overview

About the Position: This position is located at Naval Base Health Clinic Portsmouth in Kittery, Maine. Salary negotiation may be available for those candidates who are new to Federal service. Incentives may be available for highly qualified applicants. This is a Direct Hire Solicitation

Duties

• Serves as the point of contact on matters relating to health benefits programs available to eligible beneficiaries.
• Researches appropriate regulations and interprets pertinent information for eligible individuals.
• Provides information and assistance based upon personal, written, or telephone inquires concerning both inpatient and outpatient medical care under the USHBP and medical care from civilian sources under the TRICARE program.
• Researches problems in the claims process by telephone or other methods.
• Reviews records and contacts other offices to determine the status of pending actions, the reasons for delays or changes, and what actions or additional information are required to resolve the case.
• Provides information on alternative sources of care, feasibility of treatment option, billing, claims processing, and entitlement.