HEALTH SYSTEM SPECIALIST (BENEFITS/INFO/HIPAA)

Summary

About the Position: This position is located at Madigan Army Medical Center

This is a Direct Hire Solicitation

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Duties

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• Acts as the main point of contact and advisor for beneficiaries, providers, and agencies on matters related to health benefits programs, primarily TRICARE
• Investigates and resolves debt collection, billing problems, and claims payment issues between patients, civilian facilities, and the TRICARE fiscal intermediary.
• Serves as the Healthcare Privacy Officer, managing and evaluating compliance with HIPAA, the Privacy Act, and other laws related to Protected Health Information (PHI).
• Develops and delivers privacy training for all staff and investigates any complaints or breaches of patient privacy.
• Provides briefings on health benefits to beneficiaries at various events and develops informational materials for local media to publicize program changes and updates.

Requirements

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Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• In the event of severe weather conditions or other such emergency type situations (natural or man-made disaster) the incumbent is required to report to work or remain at work as scheduled to support mission operations.
• Required to work on an intermittent or unscheduled, on-call basis.
• Temporary Duty (TDY) or business travel requirement of 5% of the time
• This position is subject to an annual screening and update of required immunizations unless exempted for medical or administrative reasons

Qualifications

Who May Apply: US Citizens

In order to qualify, you must meet the Experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.

Additional information

• Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
• You will be required to provide proof of U.S. Citizenship.
• This position requires a 1 year probationary periodduring which the agency evaluates your fitness and whether your continued employment advances the public interest. In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest.
• Direct Deposit of Pay is required.
• Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
• Recruitment or relocation incentives MAY be authorized for highly qualified candidates.
• Multiple positions may be filled from this announcement.
• Salary includes applicable locality pay or Local Market Supplement.
• If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
• Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.