Contact Representative

Summary

About the Position: This position is located at Defense Health Network Pacific Rim, Naval Medical Center, San Diego, CA Directorate of Command (Staff Patient Experience). Incumbent provides full range of direct anesthetic services and pain management to eligible beneficiaries. A recruitment or retention incentive may be authorized. Advanced Leave Accrual may be authorized. This is a Direct Hire Solicitation

Duties

• Receives Health benefits inquiries directly from beneficiaries.
• Coordinate with appropriate points of contact for information, assistance and delivery of needed medical service.
• Counsel beneficiary, clarify benefits, identify applicable options and provide advice of the most advantageous action.
• Analyzes, researches, and presents estimate of applicable deductibles and co-payments.
• Verifies eligibility and identifies medical care for foreign members under the international reciprocal healthcare agreements.

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. Specialized Experience: One year of specialized experience which includes (1) counseling patients on health benefits; and (2) reviewing medical claims for accuracy and correction; and (3) giving formal presentations on health care benefits to beneficiaries and/or civilian organizations.. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-07).

Education

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.