Beneficiary Service Representative

• Associates degree (preferably in business administration, management or healthcare fields)
• Minimum Two years’ experience 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).
• Working knowledge of computers, specifically the Internet, Microsoft Outlook (e-mail), Microsoft Word, Microsoft Excel, and Windows.

• 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 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 (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.
• Receives and responds to inquiries from beneficiaries, DoD Components, other agencies, and various interested parties.
• 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 interested parties.
• Assists in preparing appeals, impartial medical reviews, rebuttals, and coordinates the assignment of Service member’s legal counsel.
• Assists the medical professional staff and other staff members on the regulatory and procedural aspects of profiling and disability 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 made for members to travel on temporary duty status to and from other locations as required.
• Provides reports, briefings, training and respond to inquiries from senior leaders.

Betterteam