Beneficiary Services Representative (PEBLO)

Job Description

Physical Evaluation Board Liaison Officer (PEBLO)/Beneficiary Services Representative

Bgesh, Incorporated at Lackland or Randolph AFB

Bgesh, Incorporated is looking for an eager, qualified PEBLO to join our team and serve in the Medical Evaluation Board (MEB) Program.

Who We Are

Bgesh, Incorporated is a Native American, Woman Owned Small Business. We strive to live every day by the Golden Rule and look to grow our company based on its principles. To learn more about us, visit www.bgesh.com.

Overview

PEBLOs provide information to active duty and reserve component members (Reserve and Guard) and commanders on program requirements, military benefits, legal rights, and the appeals process. PEBLOs coordinate aeromedical evacuation or other patient travel requirements, TDRL, fitness for duty determinations, lines of duty and other program requirements related to the Disability Evaluation System (DES). PEBLOs provide Physical Evaluation Board (PEB) findings to service member and medical staff.

Requirements

• Education Requirements- Associate's Degree in business administration, management or healthcare organizations from an accredited college or university or five (5) years of experience as a PEBLO.
• Experience Requirement- Two (2) years of experience required in the MEB program, DES, TDRL and TRICARE Operations Patient Administration service.
• Certifications/Licensure/Registration:
• Current BLS
  

Other Qualifications

• Must have a clear background to obtain security clearance
• Familiar with organizational structure and operation methods of Air Force.
• U.S. Citizenship: Workers performing under this contract must be US Citizens
• Possess excellent written and oral communication skills. Effectively use correct grammar and spelling in all written communications.
• Must possess organization, problem-solving and communication skills to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way.
  
  

Duties

• Extensive knowledge of the TRICARE and DES program policies and reference manuals.
• In-depth knowledge, experience, and training to handle and solve complex cases that arise when addressing fitness for duty or physical disability evaluation issues. Ability to manage multiple cases with various needs and in various stages of the DES process, and to think critically and clearly on case issues. Facilitate investigations, medical and treatment referrals, and ongoing legal proceedings, as well as work with agencies and service providers to facilitate case coordination and information sharing.
• Possess knowledge of the integrated Physical Disability Processing System and medical standards as it applies to Air Force, Air Force Reserve Command, and Air National Guard as implemented by AFI PERFORMANCE WORK STATEMENT (PWS) FOR MEDICAL EVALUATION BOARD (MEB) SERVICES BENEFICIARY SERVICES REPRESENTATIVE & PHYSICAL EVALUATION BOARD LIAISON OFFICER (PEBLO) ASSISTANT 36-3212, Physical Evaluation For Retention, Retirement, and Separation; AFI 41-210, Tricare Operations and Patient Administration Functions; AFI 48-123, Medical Examinations and Standards; DoDI 1332.18, Disability Evaluation System; and DoDI 1332.39, Application of the Veterans Administration Schedule for Rating Disabilities.
• Possess knowledge of Chapter 61, Title 10, United States Code and provisions of Title 38, U.S. Code as these laws set forth provisions for disability for the Armed Forces and Veterans Administration (VA). Since the interaction between the two laws must be fully understood by member being briefed, it is imperative that CP possesses full knowledge of both.
• Experience in or at least extensive familiarity with, the U.S. Military Services. Broad familiarity with medical terminology with a minimum of one (1) year experience with the following applications: Armed Forces Health Longitudinal Technology Application (AHLTA), Composite Health Care System (CHCS) and Veterans Tracking Application (VTA). Minimum one (1) year of experience in a DoD MTF.
• Plan and complete necessary MEB process activities from the time of notification of the need to evaluate an active duty member’s fitness for duty until the Secretary of the Air Force Personnel Council makes a disposition.
• Process Review-in-Lieu-of (RILO) MEB cases for assignment limitation codes as directed or required by AFPC/Medical Standards (DP2NP) and in accordance with established Air Force guidance.
• Responsible for obtaining, assembling, and forwarding all documents and records required by the PEB. Ensure that each narrative summary and supporting documents completed in a manner to allow for review, rating, and final adjudication within the Office of the Secretary of the Air Force or appropriate Secretariat level for the pertinent service. Obtain available records and supporting documents to assist the MEB and councils in their determinations and is responsible for obtaining final approved copies of informal or formal Line-of-Duty Determinations.
• Receive and respond to inquiries from beneficiaries, DoD Components, other agencies, and various interested parties.
• Coordinates with appropriate points of contact throughout the military health system, the line of the Air Force agencies, (i.e. Military Personnel Flights, Comptroller, Transportation, Aeromedical Evacuation) and the Department of Veterans Affairs (i.e. Veterans Benefits Administration and Veterans Health Administration) to best meet the member’s needs for information or assistance.
• Responsible for ensuring procedural actions are accomplished on Air Force personnel hospitalized or evaluated at other uniformed services medical facilities, coordinate all disability actions under Navy, Coast Guard, Marine, National Oceanic and Atmospheric Administration and U.S. Public Health Service directives to ensure accurate case processing. Able to reject or postpone any case, which presents prematurely for adjudication.
• Assist the medical professional staff and other staff members on the regulatory and procedural aspects of profiling and disability processing. Provide MEB orientation program and on the job training for assigned staff personnel as required. PERFORMANCE WORK STATEMENT (PWS) FOR MEDICAL EVALUATION BOARD (MEB) SERVICES BENEFICIARY SERVICES REPRESENTATIVE & PHYSICAL EVALUATION BOARD LIAISON OFFICER (PEBLO) ASSISTANT
• Practical knowledge and understanding of TRICARE contract language, regional healthcare issues and initiatives, and other federal health benefits programs.
• Knowledge of basic principles and practices relating to the entire military healthcare delivery system.
• Proficient in oral and written communication and customer service principles, methods, practices, and techniques analytic methods, to include using research tools and statistical analysis, and interpersonal relations practices
  
  

Schedule

• Position type: Hourly
• Full Time. 40 hours per week, M-F
  
  

Normal clinic hours are between 0700 and 1700, Monday through Friday.

• PEBLO will not work on federal holidays
• Overtime is not authorized (Hours worked are not to exceed 9 hours (8 paid hours, one unpaid hour for lunch)