Beneficiary Services Representative

3 months ago

Columbia, United States HealthCare Resolution Services Full time
Job DescriptionJob Description

Summary:

This individual serves as the Physical Evaluation Board Liaison Officer (PEBLO) for the medical treatment facility (MTF) and its geographic area of responsibility. Provides Disability Evaluation System (DES) guidance in accordance with established DoD guidelines, data collection, medical coordination, Service member/commander/stakeholder advising, and procedural work related to Medical Evaluation Board (MEB) processing and Temporary Disability Retired List.

Responsibilities:

  • Responsible for obtaining, assembling, and forwarding all required documents and records for the active duty, AFRC, and ANG to the Veteran Affairs Medical Service Coordinator, the local MEB, the IPEB, the FPEB, and other IDES stakeholders in accordance with regulatory guidance.
  • Ensures LOD processing is accomplished for each IDES case.
  • 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 on their rights, benefits, privileges, or obligations.
  • Effective interpersonal communication skills to effectively accomplish the IDES process.
  • Coordinates evaluation appointments; schedules follow-up appointments and appropriate referrals related to benefits.
  • When the Service member is incapacitated or incompetent for pay purposes and unable to manage his/her own legal affairs, the PEBLO provides guidance and assists the legal next-of-kin on the Service member's rights and 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 (e.g., Recovery Care Coordinators (RCC)), patient administration personnel, the Office of the Airmen's Counsel (OAC), the PEB and the Military Department Wounded Warrior Program liaison or advocate. Skill in applying fact finding, analytical, and problem-solving methods and techniques.
  • Processes Review-in-Lieu-of (RILO) MEB cases for assignment limitation codes as directed or required by AFPC/DPANM and in accordance with established AF guidance.
  • Receives and responds to inquiries from beneficiaries, DoD Components, other agencies, and various interested parties.
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).
  • Experience requirement could be waived for a candidate with two years of experience in the medical field upon approval from the 19MDG Lead PEBLO.
  • The contractor shall use the Disability Counseling Guide for Physical Evaluation Board (PEB) Liaison Officers (PEBLO) as guidance for administrative support.
  • The Government will provide basic military health care principles and practices, PEBLO, MEB, TDRL, and DES training.
  • The Government will provide training for various information systems (i.e., Veteran's Tracking Application (VTA), Disability Evaluation System Information Technology Initiative (DES-ITI), Computerized Informatics Branch (CIB), and Defense Travel System (DTS)
  • Preliminary training and access will be provided by the Government during the in-processing activities.
  • After completion of the training, the individual will be required to independently use the Government computer system.
  • Competency is at the sole discretion of the Government.
Benefits
  • Medical, Dental and Vision through Carefirst BCBS
  • 401K plan with employer match
  • Paid Holidays
  • Up to 56 hours of Paid Sick Leave
  • Vacation leave
  • Telehealth plan
  • Working Advantage discount purchase plan
  • Balanceworks - Employee Assistance Program

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