Contact Representative (Office Administration)

US Military Treatment Facilities under DHA; Hohenfels; On-site; EUR 42,000 - 56,000; Full time

Job summary

US Military Treatment Facilities under DHA seeks a Contact Representative and Health Benefits Advisor to counsel beneficiaries on healthcare benefits and coordinate referrals with civilian and military networks.

You will obtain care authorizations, manage automated databases to facilitate timely patient care delivery and program reporting, and maintain accurate records. Proficiency in typing 40 words per minute is required.

Qualifications

• One year of specialized experience including advising patients on healthcare benefits and enrollment options.
• Coordinating specialty care referrals and patient appointments between facilities to ensure timely access and necessary authorizations.
• Extracting, tracking, and maintaining patient referral and health benefit data using databases for reporting and evaluation.

Responsibilities

• Counsel patients, beneficiaries, or clients regarding healthcare benefits and enrollment options.
• Coordinate referrals and appointments between healthcare facilities and network providers for timely care.
• Maintain and analyze referral and benefit data to support program reporting and utilization metrics.

Skills

Advising patients on health benefits

Coordinating referrals

Health system navigation

Education

Graduate level education (9 semester hours)

Job description

About the Position:

Serves as a Contact Representative and Health Benefits Advisor within the Medical Treatment Facility. Responsible for counseling beneficiaries on healthcare benefits, coordinating specialty care referrals with civilian and military networks, obtaining care authorizations, and managing automated databases to facilitate timely patient care delivery and program reporting.

This is a Direct Hire for Certain Personnel of the DoD Workforce Solicitation

Who May Apply: US Citizens

In order to qualify, you must meet the education and/or 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.

Proficiency Required: This position requires a qualified typist. A qualified typist can type 40 words per minute based on a 5 minute sample with three or fewer errors.

Specialized Experience:

One year of specialized experience which includes:

• Advising patients, beneficiaries, or clients regarding healthcare benefits, insurance programs, and enrollment options to resolve inquiries, explain coverage provisions, and assist with healthcare service navigation;

• Coordinating specialty care referrals and patient appointments between healthcare facilities, clinics, or network providers to ensure timely access to medical care and obtain necessary authorizations; AND

• Extracting, tracking, and maintaining patient referral and health benefit data using automated database systems to generate administrative reports, reconcile utilization metrics, and support program evaluation.

This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).

OR

Education:

A half year (i.e., 9 semester hours) of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position.

OR

Combination of Education and Experience:

A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 9. Add the two percentages.