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Beneficiary Services Representative
hace 2 meses
We are seeking a highly skilled Beneficiary Services Representative to join our team at Leidos. As a key member of our team, you will provide critical support to our beneficiaries, ensuring they receive the best possible care and services.
Key Responsibilities- Verify benefits eligibility and process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System and other relevant systems.
- Register beneficiaries in the Composite Health Care System and resolve enrollment discrepancies between systems.
- Provide education on resources and benefits, enrollment/disenrollment information, and customer service to beneficiaries via phone and in-person interactions.
- Collect, process, retrieve, and disseminate transfer information for active-duty portability/disenrollment processes.
- Conduct briefings for In Processing, Out Processing, Maternity, and other relevant events.
- Provide basic claims assistance, including information on claim status.
- Collect and record Health Information into applicable systems.
- Assess and address beneficiary questions and concerns, referring as needed to ensure timely resolution.
- Complete tasks on a timely basis and comply with HIPAA regulations, Leidos, and other training and refresher courses.
- Maintain confidentiality and proper handling of Protected Health Information.
- High school diploma or GED.
- Must be SOFA/Command Sponsored as a dependent of an Active-Duty Service Member or DoD employee.
- Must be a US Citizen to be considered for this position.
- Be eligible for and maintain ADP II/IT II clearance.
- Will be expected to travel to multiple sites from 25%-75% of the time.
- Three years' cumulative experience in the following areas:
- U.S. military healthcare delivery system or civilian managed care medical/administrative environment.
- Medical or clinical environment.
- CHCS or civilian healthcare computer system and medical claims processing.
- Fluent in English.
- Proficient in written and oral communications.
- Effective presentation skills.
- Computer literate with Internet research experience.
- Proficient with Microsoft Office 2010 or later applications.
