Contact Representative

U.S. Department of Defense; Fort Leavenworth (KS); On-site; USD 52,000 - 76,000; Full time

Job summary

U.S. Department of Defense at Fort Leavenworth, Kansas is seeking a Health Benefits Specialist to serve as the primary contact for health benefits programs for eligible beneficiaries.

The role involves researching relevant regulations and interpreting information to assist individuals with inpatient and outpatient medical care under the USHBP and TRICARE programs. Responsibilities include resolving claims issues by phone, reviewing records, coordinating with other offices, and guiding

Qualifications

• Background investigation may be required.
• Seasonal influenza vaccination or approved exemption may be required.
• Immunization screening is required; Hepatitis B vaccination required for positions with direct patient contact.

Responsibilities

• Serve as point of contact on health benefits programs for eligible beneficiaries.
• Research applicable regulations and interpret information for individuals.
• Provide information and assistance on inpatient and outpatient medical care under USHBP and TRICARE.
• Research problems in the claims process by phone or other methods.
• Review records and coordinate with other offices to determine status of actions.
• Provide information on alternative care sources, treatment options, billing, and entitlement.

Skills

Health benefits knowledge

Regulatory research

Customer service

Record review

Interpersonal communication

Job description

About the Position:

This position is located at Fort Leavenworth, Kansas
This is a Direct Hire Solicitation

• Salary negotiation may be available for those candidates who are new to Federal service.

Duties

• Serve as the point of contact on matters relating to health benefits programs available to eligible beneficiaries.
• Research appropriate regulations and interprets pertinent information for eligible individuals.
• Provide 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.
• Research problems in the claims process by telephone or other methods.
• Review 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.
• Provide information on alternative sources of care, feasibility of treatment option, billing, claims processing, and entitlement.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
• Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.