About this role
Job Summary
About the Position
This position is located at the Goodfellow Medical Group at Goodfellow Air Force Base, Texas. This is a Direct Hire Solicitation
Qualifications
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. Basic Requirement for Contact Representative: Specialized Experience: One year of specialized experience which includes providing beneficiary or referral management support, utilizing automated healthcare systems to manage patient data, resolving customer inquiries, and presenting oral or written materials to educate patients. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-07).
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.
Major Duties
- Provide education to a wide variety of beneficiaries on established TRICARE procedures and benefits.
- Advise service members on types of benefits and their advantages and disadvantages.
- Troubleshoot problems beneficiaries have in processing claims, enrolling in programs, receiving authorization for services or other system problems.
- Analyze statistics from various internal sources on availability and effectiveness of the referral management programs.
- Manage multiple databases unique to TRICARE and the referral program.
- Serve as the primary liaison for all health benefit programs available to active duty and retired service members and their families.