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Duties
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• Explain the order of priority of entitlement to benefits from other sources such as VA, Medicare, and insurance through employment and/or private insurance.
• Provide specific advice on all eligibility requirements, exclusions of certain diseases or conditions, coverage of medical conditions, out of pocket cost, coordination of benefits, and any applicable program rules.
• Explain the referral process and clear and legible report uploading.
• Interview personnel by telephone and in person to obtain information concerning military status of the sponsor.
• Provide counseling and guidance concerning TRICARE rights, benefits, and obligations.
• Advise beneficiaries of appeal rights under DoD regulations.

Requirements
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Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This position has mandatory seasonal Influenza vaccination requirements and is subject to annual seasonal Influenza vaccinations unless otherwise exempted for medical or religious reasons (documentation of exemption must be provided upon hire).
• This position requires the incumbent to have Tuberculosis testing.
• This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment.

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 equivalent to at least the GS-06 grade level in the Federal service which includes performing one or more of the following: serving as a point of contact related to healthcare benefits program matters; utilizing automated health records systems to review and maintain patient records; and communicating effectively with customers, patients, and medical staff.

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.

Education

This job does not have an education qualification requirement.

Additional information

• Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
• You will be required to provide proof of U.S. Citizenship.
• One year trial/probationary period may be required.
• Direct Deposit of Pay is required.
• Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
• Recruitment or relocation incentives MAY be authorized for highly qualified candidates.
• Multiple positions may be filled from this announcement.
• Salary includes applicable locality pay or Local Market Supplement.
• If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
• Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.