Beneficiary Services Representative

Qualifications

• High School Diploma or General Educational Development (GED) Equivalency
• Knowledge of Medical Terminology preferred.
• Working knowledge of computers, specifically the Internet, Microsoft Outlook (e-mail), Microsoft Word,Microsoft Excel, and Windows.

Job Duties and Responsibilities:
The duties include but are not limited to the following:

• Responsible for obtaining, assembling, and forwarding all required documents and records for active duty,AFRC and ANG to the Veteran Affairs Medical Service Coordinator, the local MEB, the IPEB, the FPEB andother IDES stakeholders in accordance with regulatory guidance.
• Provides guidance to all ranks of military personnel from all branches of the uniformed services, retirees, andfamilies 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 tobenefits.
• Serves as a liaison between the Service member, their respective commander and a multi-disciplinary team ofprimary care managers, other appropriate health care professionals, medical care case managers, non-medicalcase managers (e.g., Recovery Care Coordinators (RCC)), patient administration personnel, the Office of theAirmen’s Counsel (OAC), the PEB and the Military Department Wounded Warrior Program liaison oradvocate.
• Receives and responds to inquiries from beneficiaries, DoD Components, other agencies, and various interestedparties.
• Provides guidance on activities with appropriate points of contact throughout the Military Health System.
• Receives and responds to inquiries from beneficiaries, DoD Components, other agencies, and various interestedparties.
• Assists in preparing appeals, impartial medical reviews, rebuttals, and coordinates the assignment of Servicemember’s legal counsel.
• Assists the medical professional staff and other staff members on the regulatory and procedural aspects of profiling anddisability processing. Provides MEB orientation program and on the job training for assigned staff personnel as required.
• Tracks all assigned cases, analyzes performance against established standards.
• Monitors/updates cases in VTA or other tracking tool as the case progresses through the IDES process.
• Coordinates patient travel for members opting to appeal to the FPEB. Assures necessary arrangements are madefor members to travel on temporary duty status to and from other locations as required.
• Provides reports, briefings, training and responds to inquiries from senior leaders.