The Contact Representative position is located in the Business Office of the Lower Brule Service Unit. The primary purpose of the position is to function as the Alternative Resource Benefits Coordinator, ensuring the identification of patients who are eligible for alternate resources.
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: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: For the GS-06 grade level : Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples of specialized experience at this level include: Interview patients to determine health care eligibility; Assist patients with their alternate resources application; Act as an advocate for patients securing health care benefit programs such as Medicare, Medicaid or similar alternate resources; Verify current eligibility for third party health insurance; Compile and write reports. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement.
Acts as an advocate for patients in securing alternative resources such as Medicare, Medicaid, Department of Veterans Affairs, Bureau of Employment Compensation, Third Party Liability, Children's Special Health Services, Aid to Families with dependent children, etc. Works closely with the Social Security Administration (SSA) on local and regional levels, local County Department of Welfare or Department of Human Resources and Tribal offices to establish eligibility for Medicare, AFDC, and Supplemental Social Security Income (SSI) to establish patient eligibility with these programs. Works with Patient Registration to collect and record patient demographics. Follows up on all pending claims. Assists patients with applications for alternate resources, and interpretations of rules and regulations.