Description du poste
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
PRINCIPALES MISSIONS :
Advises beneficiaries on healthcare benefit programs, eligibility criteria, covered services, and cost-share structures to assist in enrollment, registration, and health plan navigation.
Coordinates specialty medical referrals between military treatment facilities and civilian healthcare networks, securing required authorizations to guarantee continuity of care.
Schedules and monitors specialized clinical appointments across military and civilian networks based on provider referrals and individual patient healthcare requirements.
Collects, analyzes, and maintains statistical referral and admission data from automated healthcare databases to generate recurring utilization and program evaluation reports.
Conducts educational briefings and mans informational exhibits for patients, retirees, and staff regarding available healthcare benefit plans and facility medical services.
Operates office automation software and clinical databases to verify patient enrollment, generate official correspondence, track referral documents, and maintain data integrity.
QUALIFICATIONS REQUISES :
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.
À propos de Military Treatment Facilities under DHA
As an integrated health care system, the Defense Health Agency delivers healthcare services across the Department of Defense and enables combat support to the Joint Force as a strategic partner. Through a robust healthcare delivery system, and a dedicated team of inspired professionals, the Agency ensures the worldwide delivery of medical, dental, and pharmacy programs to more than 9.5 million uniformed service members, retirees, and their families, by improving health and building readiness Anytime, Anywhere-Always. U.S. Army Health Clinic Hohenfels is co-located with the Joint Multinational Readiness Center (JMRC) on the Hohenfels Training Area and provides quality ambulatory care for more than 6,000 Soldiers, rotational training forces, and their families, while coordinating and facilitating inpatient and specialty care with nearby German host nation medical facilities and DoD partners. Hohenfels is home to the Joint Multinational Readiness Center (JMRC), the premier combat maneuver