Beneficiary Services Rep-GTW Job in Hampton 23630, Virginia US
GTW Consultants Associates, LLC
Company Job Title: Beneficiary Services Representative
Chenega Job Title: Secretary III
Clearance: NACI
Location: Langley AFB, VA
Reports To: Program Manager
FLSA Status: Regular, Full-time, Hourly, Non-Exempt
Prepared Date: March 18, 2012
Approved Date: March 18, 2012
Summary
The Beneficiary Services Representative (BSR) shall serve as the Physical Evaluation Board Liaison Officer (PEBLO) in the Medical Evaluation Board (MEB) program, providing information to active duty and Reserve Component members (Reserve and Guard) and commanders on program requirements, military benefits, legal rights, and the appeals process. The BSR shall also coordinate Aeromedical evacuation or other patient travel requirements, Temporary Disability Retirement Listings (TDRL), fitness for duty determinations, lines of duty and other program requirements related to the Disability Evaluation System (DES).
Essential Duties and Responsibilities Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position
1. Plans and completes necessary Medical Evaluation Board (MEB) process activities from the time of notification of the need to evaluate an active duty member’s fitness for duty until a disposition is made by the Secretary of the Air Force Personnel Council.
2. Responsible for obtaining, assembling, and forwarding all documents and records required by the Physical Evaluation Board (PEB).
3. Receives and responds to inquiries from beneficiaries, DoD Components, other agencies, and various interested parties.
4. Coordinates with appropriate points of contact throughout the MHS, the line of the Air Force agencies, (i.e. Military Personnel Flights, Comptroller, Transportation, Aeromedical Evacuation) and the Department of Veterans Affairs (i.e. Veterans Benefits Administration [VBA] and Veterans Health Administration [VHA]) to best meet the member’s needs for information or assistance.
5. Assists the medical professional staff and other staff members on the regulatory and procedural aspects of profiling and disability processing. Provides MEB orientation program and on the job training for assigned staff personnel as required.
6. Monitors the effectiveness and efficiency of the local MEB, LOD, and Temporary Disability Retirement Listings (TDRL) programs using the Patient Administration Self-Inspection Checklist, which is maintained by the Health Benefits Division.
7. Extract, maintain and analyze statistical data from various disability evaluation system sources.
8. Assures necessary arrangements are made for members to travel on temporary duty status to and from other locations as required.
9. Updates local program documentation, i.e., patient handouts, training documents, checklists, operating procedures, etc.
10. Advise service member and medical staff on PEB findings.
11. Other duties as assigned
Minimum Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Education and/or Experience
1) Associate Degree in business administration, management or health care organizations from an accredited college or university.
2) Two years relevant work experience required.
3) Expert knowledge of the TRICARE and DES program policies and reference manuals.
4) In-depth knowledge, experience, and training to handle and solve complex cases that arise when addressing fitness for duty or physical disability evaluation issues.
5) Tact, diplomacy, and restraint in counseling and explaining entitlements, benefits, and responsibilities to all customers.
6) Master of oral and written communication and customer service principles, methods, practices and techniques analytic methods, to include using research tools and statistical analysis and, interpersonal relations practices.
7) Knowledge of basic principles and practices relating to the entire military healthcare delivery system.
8) Knowledge of DES processing regulations, instructions, procedures, and policies to assure timely case processing.
9) Practical knowledge and understanding of TRICARE contract language, regional healthcare issues and initiatives, and other federal health benefits programs.
Computer Skills
Must have knowledge of a variety of computer software applications and proficient in the use of the MS Office Suite, including MS Word, Excel, PowerPoint, and Outlook.
Competencies - To perform the job successfully, an individual should demonstrate the following competencies:
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Strategic Thinking - Develops strategies to achieve organizational goals; Understands organization's strengths weaknesses; Analyzes market and competition; Identifies external threats and opportunities; Adapts strategy to changing conditions.
Planning/Organizing - Prioritize and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention.
Qualifications - To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Language Skills - Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, proposals, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Mathematical Skills - Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Reasoning Ability - Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to question activities and issues in all functional areas and make sound business decisions based on that data.
Physical Demands - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; climb or balance and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.
Work Environment - The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
The employee will normally work in a temperature-controlled office environment, with frequent exposure to electronic office equipment.
During visits to areas of operations, may be exposed to extreme cold or hot weather conditions. Is occasionally exposed to fumes or airborne particles, toxic or caustic chemicals, and loud noise.
Chenega Corporation is an EOE. AA/M/F/D/V. Native preference under PL 93-638. We participate in the E-Verify Employment Verification Program.
Minimum Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Education and/or Experience
1) Associate Degree in business administration, management or health care organizations from an accredited college or university.
2) Two years relevant work experience required.
3) Expert knowledge of the TRICARE and DES program policies and reference manuals.
4) In-depth knowledge, experience, and training to handle and solve complex cases that arise when addressing fitness for duty or physical disability evaluation issues.
5) Tact, diplomacy, and restraint in counseling and explaining entitlements, benefits, and responsibilities to all customers.
6) Master of oral and written communication and customer service principles, methods, practices and techniques analytic methods, to include using research tools and statistical analysis and, interpersonal relations practices.
7) Knowledge of basic principles and practices relating to the entire military healthcare delivery system.
8) Knowledge of DES processing regulations, instructions, procedures, and policies to assure timely case processing.
9) Practical knowledge and understanding of TRICARE contract language, regional healthcare issues and initiatives, and other federal health benefits programs.
Computer Skills
Must have knowledge of a variety of computer software applications and proficient in the use of the MS Office Suite, including MS Word, Excel, PowerPoint, and Outlook.
