Patient Contact Representative
Location: Newport Rhode Island
Description: Department of the Navy is currently interviewing Patient Contact Representative right now, this career will be placed in Rhode Island. For detail informations about this career opportunity please read the description below. The Navy and Marine Corps team offers innovative, exciting and meaningful work linking military and civilian talents to achieve our mission and safeguard our freed! oms. Department of the Navy provides competitive salaries, comprehensive benefits, and extensive professional development and training. From pipefitters to accountants, scientists to engineers, doctors to nurses-the careers and opportunities to make a difference are endless. Civilian careers-where purpose and patriotism unite!
This position is located in the Director for Administration, Health Care Business Operations Directorate, Naval Health Care New England (NHCNE), Managed Care, Referral Management Office (RMO), at R. D. Dewert Medical Clinic, Newport, RI. KEY REQUIREMENTS
You must be a US Citizen.
Must be registered for Selective Service, see Legal & Regulatory Guidance.
Suitable for Federal employment as determined by background investigation.
Selectee may be required to successfully complete a probationary period.
Required to get an annual flu shot
You must obtain and maintain a security clearance DUTIES:
The incu! mbent of this position will serve as the point of contact on m! atters related to all health benefits programs available to active duty, retired members and family members. Duti es may include and are not limited to:
- Provides information and assistance pertaining to TRICARE and Medicare supplemental insurance.
- Utilizes the TRICARE program, Medicare, Medicaid and other health insurance to include TRICARE and Medicare supplemental insurance.
- Assist beneficiaries with accessing care or other benefits that may be available under other programs.
- Verify authorizations through the Managed Care Support Contractor website.
- Communicate with contact office representatives to resolve medical claims issues.
In order to qualify for this position, your resume must provide sufficient experience and/or education, knowledge, skills, and abilities, to perform the duties of the specific position for which you are being considered. Your resume is the key mea! ns we have for evaluating your skills, knowledge, and abilities, as they relate to this position. Therefore, we encourage you to be clear and specific when describing your experience.
To qualify for the GS-06 Your resume must demonstrate at least one year of specialized experience at or equivalent to the GS-05 grade level or pay band in the Federal service or equivalent experience in the private or public sector. Specialized experience is defined as experience that is typically in or related to the work of the position to be filled and has equipped you with the particular knowledge, skills, and abilities, to successfully perform the duties of the position. Specialized experience must demonstrate the following:
- Experience providing advice concerning types of eligibility, requirements and cost to beneficiaries.
- Experience monitoring, tracking and managing referrals deferred to the network.
- Experience advising staff members on polic! y and procedures on referring and/or disengaging beneficiaries.
- Experience providing advice concerning types of eligibility, requirements and cost to beneficiaries.
- Experience monitoring, tracking and managing referrals deferred to the network.
- Experience advising staff members on pol! icy and procedures on referring and/or disengaging beneficiaries.
- Experience communicating with contact office representatives to resolve medical claims issues.
- Experience completing and coordination of authorizations for civilian medical care and durable medical equipment for uniformed service members and their families.
- Experience working with debt collections as it pertains to the medical field.
PART-TIME OR UNPAID EXPERIENCE : Credit will be given for appropriate unpaid and or part-time work. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.
As part of the application process, you must complete and su! bmit an occupational questionnaire. To preview this questionnaire and d! etermine if your experience matches the skills required for this position, click on the following link: View Assessment Questions .
EDUCATION:
Are you using your education to qualify? For positions requiring positive education requirements , or if you are using education to meet all or part of the qualification requirements , we strongly recommend that you submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) . See OPM's General Policies for information on crediting education .
Education completed in foreign colleges or universities may be used to meet the qualification requirements if the applicant can provide documentation indicating that the foreign education is comparable to that received in an accredited educational institution in the United States. It is the responsibility of the applicant to provide ! such evidence when applying f or further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html
REQUIREMENTS:
Generally, current Federal employees applying for GS jobs must serve at least one year at the next lower grade level. This requirement is called time-in-grade. All qualifications and time-in-grade requirements must be met by the closing date of this announcement and clearly documented in your resume.
Selectee is required to participate in the Department of Defense direct deposit of pay program.
Selectee is required to get an Annual Flu Shot
An Immunizations Review is required
A security clearance is a requirement of this position. Failure to obtain and maintain the required level of clearance may result in the withdrawal of a position offer or removal. If you possess a security clearance, please indicate the level and termination date in your resume. HOW! YOU WILL BE EVALUATED:
When the application process is comple! te, we will review your r esume to ensure you meet the hiring eligibility and qualification requirements listed in this announcement. You will be rated based on the information provided in your resume and responses to the Occupational Questionnaire , along with your supporting documentation to determine your ability to demonstrate the following knowledge, skills and abilities/competencies:
KNOWLEDGE OF HEALTH BENEFIT PROGRAMS
ABILITY TO EFFECTIVELY COMMUNICATE
KNOWLEDGE OF MEDICAL CLAIMS
KNOWLEDGE OF HEALTHCARE ADMINISTRATIVE AND CLERICAL PROCESS
If, after reviewing your resume and supporting documentation, a determination is made that you inflated your qualifications and/or experience, your score may be adjusted to more accurately reflect your abilities or you may be found ineligible/not qualified.
Please follow all instructions carefully. Errors or omissions may affect your rating or consideration for employment. BENEF! ITS:
Department of the Navy offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays and a 401K-type retirement plan. OTHER INFORMATION:
This Position is subject to Department of Defense Priority Placement Program.
This announcement may be used to fill additional vacancies.
Relocation expenses may or may not be authorized.
A tentative offer of employment will be rescinded if the selectee fails to meet the pre-employment requirements, including failure to report to any of the scheduled appointments.
The Department of the Navy uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify .
Federal Annuitant Information:
The selection of an annuitant is subject to the Department of Defense and Department of the Navy policy on the employment of annu! itants. Policy information may be found at: http://www.public.navy.mil/! donhr/Employment/CivJobOpps/Documents/FedCivAnnuitants.pdf
Interagency Career Transition Assistance Program (ICTAP) Eligible:
ICTAP applicants must be well qualified for the position to receive consideration for special priority selection. A well-qualified ICTAP applicant is one whose knowledge, skills, and abilities clearly exceed the minimum qualification requirements; however, the individual would not necessarily be considered highly or best qualified. For more information about ICTAP eligibility please review the following link: http://www.public.navy.mil/donhr/Employment/CivJobOpps/Documents/ICTAP_Statement.pdf
VeteranÂ's Employment Opportunities Act (VEOA):
http://www.public.navy.mil/donhr/Employment/CivJobOpps/Documents/VEOA_Eligible.pdf
Military Spouse Preference (MSP):
http://www.public.navy.mil/donhr/Employment/CivJobOpps/Documents/Mil_Spouse_Pref_Statement.pdf
VeteranÂ's Preference Information:!
http://www.public.navy.mil/donhr/Employment/CivJobOpps/Documents/Vet_%20Preference_Statement.pdf
30% or More Disabled Veterans:
http://www.public.navy.mil/donhr/Employment/CivJobOpps/Documents/30_or_%20More_%20Disabled_Vet.pdf
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Department of the Navy.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Wed, 05 Jun 2013 15:18:06 GMT
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