Beneficiary Services Representative (PEBLO)
Job description
At General Infomatics, Inc we pride ourselves on providing program support, healthcare services, strategic technology solutions, and knowledge management to US government agencies worldwide, under standards of integrity, trust, and a commitment to excellence.
We are looking for a Beneficiary Services Representative (PEBLO) full time position in Portsmouth, VA.
MAIN RESPONSIBILITIES AND DUTIES
Responsible for obtaining, assembling and forwarding all required documents and records to required organizations as well as the Veteran Affairs Medical Service Coordinator, the local MEB, the IPEB, the FPEB and other IDES stakeholders in accordance with regulatory guidance.
Provides guidance to all ranks of military personnel from all branches of the uniformed services, retirees, and families of those being processed through the IDES program of their rights, benefits, privileges, or obligations.
Coordinates evaluation appointments: schedules follow-up appointments and appropriate referrals related to benefits.
Serves as a liaison between the Service member, their respective commander and a multi-disciplinary team of primary care managers, other appropriate health care professionals, medical care case managers, non- medical case managers, patient administration personnel, the service-specific offices, the PEB and the Military Department Wounded Warrior Program liaison or advocate.
Provides guidance on activities with appropriate points of contact throughout the Military Health System (MHS), the line of the service agencies, and the Department of Veterans Affairs to best meet the member's needs for information or assistance.
Assists in preparing appeals, impartial medical reviews, rebuttals, and coordinates the assignment of Service member's legal counsel.
Analyzes available data using various statistical analytic tools, measuring means, trends, statistical deviations, constructs diagrams, histograms, charts, etc., to convey IDES
QUALIFICATIONS, SKILLS AND REQUIREMENTS
Associate Degree in business administration, management or health care organizations from an accredited college or university.- Two years' experience as a PEBLO within the DoD military health system in the last 6 years; or five years' experience working in a civilian disability program; or two years' experience as a VA Medical Service Coordinator (MSC).
- Knowledge of DES processing regulations, instructions, procedures, and policies to assure timely case processing.
- Practical knowledge and understanding of the TRICARE program.
- Knowledge of the military healthcare organizational structure, major issues, policies, procedures and operations
- in-depth knowledge, experience, and training to handle and solve complex cases that arise when addressing fitness for duty or physical disability evaluation issues.
- Excellent planning, organizing and managing skills.
- Critical thinking and problem-solving methods and techniques.
- Excellent oral and written communication and customer service principles, methods and practices, as well as analytic methods and techniques, to include using research tools and statistical analysis.
SALARY AND BENEFITS
- $21.00 an hour
- Comprehensive benefits package, including Health & Welfare Benefits/Options, Holidays, Vacation, Sick
Come join our team!
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