Contact Representative
Interviews all patients eligible for Medicare, Medicaid, and Private Insurance to ensure they understand their entitlements in IHS facilities. Verifies patient's alternate resource eligibility by contacting the nearest SSA or Department of Social Service (DSS) Office, State Medical Assistance Office, or Private Insurance Company, to verify the eligibility of patients. Assists families and individuals with applications for alternate resources, provides benefits information and interpretation of rules and regulations, and use of alternate resources. Works closely with facility staff to identify all alternate resources available to the Native American/American Indian population served. Serves as a liaison for the facility and patients who are enrolled in Medicare, Medicaid, and other third party insurance, etc. To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. 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; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM
Qualifications:
GS-07:
One (1) year of specialized experience equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector. Examples include:
experience working with a health care delivery system or similar system to respond to inquiries from individuals as they relate to the type of health services the medical facility can provide, and to solve problems or educate individuals about medical facility health programs and procedures including tasks such as assisting patients in applications for entitlement for health related programs, interviewing patients and/or a family member to obtain pertinent and accurate information, research current information involving changes in rules and regulations for alternate resources, and determines the eligibility of patients seeking health care. GS-08:
One (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector. Examples include:
work experience that demonstrates knowledge of eligibility requirements for health care benefit programs such as Medicare, Medicare, Social Security Insurance, and other similar resources to help patients in applying for alternate resources if not directly eligible for health services the medical facility can provide, including experience in interviewing clients for information and advising customers on various health care benefits and eligibility based on current health care laws, regulations, policies, and procedures. You must meet all qualification requirements within 30 days of the closing date of the announcement.
Estimated Salary: $20 to $28 per hour based on qualifications.
Qualifications:
GS-07:
One (1) year of specialized experience equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector. Examples include:
experience working with a health care delivery system or similar system to respond to inquiries from individuals as they relate to the type of health services the medical facility can provide, and to solve problems or educate individuals about medical facility health programs and procedures including tasks such as assisting patients in applications for entitlement for health related programs, interviewing patients and/or a family member to obtain pertinent and accurate information, research current information involving changes in rules and regulations for alternate resources, and determines the eligibility of patients seeking health care. GS-08:
One (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector. Examples include:
work experience that demonstrates knowledge of eligibility requirements for health care benefit programs such as Medicare, Medicare, Social Security Insurance, and other similar resources to help patients in applying for alternate resources if not directly eligible for health services the medical facility can provide, including experience in interviewing clients for information and advising customers on various health care benefits and eligibility based on current health care laws, regulations, policies, and procedures. You must meet all qualification requirements within 30 days of the closing date of the announcement.
- Department:
0962 Contact Representative - Salary Range:
$43,251 to $62,269 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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