Angestellte/r Patientenmanagement
Landstuhl, Germany
Ausschreibungsbereich
WHO MAY APPLY?
Current INTERNAL Local National Employees throughout Germany. This covers all current Local National employees of the U.S. Forces in Germany, including U.S. Army & Air Force Exchange Service (AAFES)-Europe within Germany
and
EXTERNAL Local National Applicants, who reside in Germany.
Hauptaufgaben
As Referral Management Coordinator, the incumbent oversees requests for medical care not available at the Military Treatment Facility (MTF) and ensures timely processing of referrals for active duty members, dependents, and retirees. They interpret TRICARE, DEERS, and DoD guidelines, counsel patients on referral sources, costs, and procedures, and coordinate arrangements between civilian providers, the MTF, and contractors. The role includes tracking consults, resolving issues, and maintaining compliance with Joint Commission requirements.
The position also manages supplemental health care data, verifies authorizations, and documents referral status, while assisting with out-of-area care and adjudicating TRICARE benefits. In addition, the Referral Management Coordinator processes bills and travel reimbursements, ensuring proper coding, documentation, and payment accuracy.
Beneficiary counseling is a key responsibility, providing guidance on TRICARE rights, benefits, and obligations, as well as interactions with other health programs such as Medicare, Medicaid, and VA benefits. Finally, the Referral Management Coordinator maintains communication with the Defense Health Agency and TRICARE contractors, disseminating policy updates and ensuring staff compliance with current procedures.
Performs other duties as assigned.
Qualifikationsanforderungen
C-5a:
E&T Level I: 2 years of creditable experience as defined in A below PLUS 2 years of experience as defined in B below.
Current employees who do not meet E&T Level I and who are not in the same or similar occupation must have 2 additional years of creditable experience as described in A below.
E&T Level II: 1 years of creditable experience as defined in A below PLUS 2 years of experience as defined in B below.
E&T Level III: 1 year of experience as defined in B below.
E&T Level IV & V: No additional experience required.
Current employees who have served one year in the same or similar occupation are qualified for the next higher grade.
Experience A: Included clerical work in an office or store, working with computers, bookkeeping, making and recording inventories, telephone marketing, arranging for events or as a cashier, etc.
Experience B: Experience in the same or similar line of work as the job for which considered. The experience must demonstrate that the applicant possesses the particular knowledge, skills and abilities required in the position. The predominant experience must have been gained at a comparable level of difficulty to the position to be filled. The amount of the higher level experience must be in a reasonable relation to the required total number of years.
Explanations to the E&T Levels (Education & Training Levels) can be found at the following link:
https://portal.chra.army.mil/mnrs?sys_id=0a86e971cd2d2d10aaffb5ebb50f5ac9&view=sp&id=mnrs_kb_article&table=kb_knowledge
Auswahlkriterien auswählen
*English AND German Language Proficiency Level B2 required.
You may test yourself for free at one of the various online providers, who offer tests under the 'Common European Framework of Reference for Languages' (CEFR).
B2 = Understand the main ideas of a complex text such as a technical piece related to their field. Spontaneously interact without too much strain for either the learner or the native speaker. Produce a detailed text on a wide range of subjects.
Description of the Language Levels:
https://portal.chra.army.mil/mnrs?sys_id=13a66d71cd2d2d10aaffb5ebb50f5aa0&view=sp&id=mnrs_kb_article&table=kb_knowledge
Beschäftigungsbedingungen
This is a permanent full-time position (38.5 hours/ week).
* Relocation expenses are not authorized
* Situational teleworking possible.
* Experience with the use of common software and computer systems, carrying out routine office work (= Office Automation) is required
* Knowledge of Basic Medical Terminology required.
* Knowledge of Medical Terminology desired.
* It is highly recommended that all employees who provide work in military treatment facilities in Germany be immunized against seasonal influenza infection each year or as often as recommended. The immunization will be provided at no cost to the employee.
THIS CONCERNS ALL EXTERNAL APPLICANTS:
* Generally, you must have been a resident in Germany for at least 12 months. Non-US citizen family members and German citizens are exempt from this requirement.
* Your permanent residence must be within Germany.
* Police Good Conduct Certificate (Polizeiliches Führungszeugnis): On initial appointment, or re-appointment after a break in service, candidates who have been selected for a position must present a police good-conduct certificate prior to appointment to the position. The applicant must obtain the certificate from the local resident registration office. The cost for the certificate is not reimbursable. Non-U.S. citizen family members, except German citizens are exempt from this requirement.
* Upon appointment with the U.S. Forces it is required to present two valid picture identifications to get access to the computer systems. Recognized documents are only: Personal ID (Personalausweis), Personal Travel Identification (Reisepass) and the European Union (EU) Driver's License (plastic card format). We recommend ensuring at the time of application that at least two of these documents are available or requested.
* Foreign National Screening (Sicherheitsüberprüfung): In accordance with U.S. Army Europe Regulation 604-1, within three days after appointment, a background check will be initiated to determine suitability for continued employment with the U. S. Forces in Germany. If results are unacceptable, employment will be terminated during the probationary period, or any time thereafter, if the background checks reveal that the employee constitutes a security risk.
* Foreign education may be accredited, please refer to the following websites for additional information: www.anabin.kmk.org or www.anerkennung-in-deutschland.de.