Contact Representative and Health Benefits Advisor

Quick Facts

• Role: Contact Representative and Health Benefits Advisor (Office Administration)

Description

Provide beneficiary counseling on healthcare benefit programs, eligibility criteria, covered services, and cost-share structures to support enrollment and health plan navigation. Coordinate specialty care referrals between military treatment facilities and civilian healthcare networks, including securing required authorizations and scheduling appointments. Use automated databases to collect, analyze, and maintain referral/admission data and generate recurring utilization and program evaluation reports.

Responsibilities

• Advise beneficiaries on healthcare benefits, eligibility, covered services, and cost-share options

• Coordinate specialty medical referrals and obtain required care authorizations

• Schedule and monitor specialized clinical appointments across military and civilian networks

• Collect, analyze, and maintain statistical referral and admission data for reports

• Conduct educational briefings and provide informational exhibits for patients, retirees, and staff

• Operate office automation software and clinical databases to verify enrollment and manage referral documentation and correspondence

Requirements

• U.S. citizen

• Qualified typist: 40 words per minute on a 5-minute sample with three or fewer errors

• Meet specialized experience and/or education qualification criteria

• Pass suitability/fitness determination following a background investigation

• Complete Selective Service Pre-Employment Certification Statement (if applicable)

• Provide proof of U.S. citizenship

• Comply with Exceptional Family Member Program requirements

• Meet DoD requirements for employment in foreign areas/return rights

• Direct deposit of pay required

• Possess or obtain and maintain a valid regular or official U.S. passport

• Mission-essential designation: report to work or remain at work during emergencies as scheduled

• Required immunization/pre-existing immunity screening for medical treatment facility occupational risk

• Mandatory seasonal influenza vaccination with annual vaccination requirement

• Temporary duty/business travel requirement of 5% of the time

• One-year probationary period (unless previously met)

Benefits

A comprehensive federal employee benefits package. Eligibility and exact benefits depend on the type of position held and whether the role is full-time, part-time, or intermittent.