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TRICARE Beneficiary Service Representative

hace 2 meses

Rota, Cádiz, España Leidos A tiempo completo
Job Summary

We are seeking a highly skilled and experienced TRICARE Beneficiary Service Representative to join our team at Leidos. As a key member of our team, you will provide exceptional customer service and support to military families and healthcare professionals.

Key Responsibilities
  • Verify benefits eligibility and process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System and Customer Relationship Manager systems.
  • Register TRICARE beneficiaries in the MHS Genesis system and perform Primary Care Manager changes in accordance with Military Treatment Facility guidelines.
  • Provide education on resources and benefits, enrollment/disenrollment information, and customer service to beneficiaries via phone and in-person.
  • Collect, process, retrieve, and disseminate transfer information for active-duty and active-duty family member portability/disenrollment processes.
  • Conduct briefings for In Processing, Out Processing, Maternity, pre-separation/retirement, and other events.
  • Provide basic claims assistance, including information on claim status.
  • Collect and record Health Information into applicable systems.
  • Assess and refer or escalate issues as needed to address beneficiary concerns.
  • Collect and report information on daily activities performed.
  • Comply with HIPAA regulations, Leidos, and other training and refresher courses.
  • Maintain confidentiality and proper handling of Protected Health Information.
  • Provide remote support to Leidos BSRs at other sites.
  • Adhere to a business casual dress code.
  • Provide shadowing support to new BSRs as needed.
Requirements
  • High school diploma or GED.
  • Must be SOFA/Command Sponsored as a dependent of an Active-Duty Service Member, DoD employee, or US Contractor supporting the DoD.
  • Must be a US Citizen.
  • Be eligible for and maintain ADP IT III / Non Sensitive Position, Tier 1.
  • Will be expected to travel to multiple sites from 25%-75% of the time.
  • Three years' cumulative experience in U.S. military healthcare delivery system or civilian managed care medical/administrative environment.
  • Experience in a medical or clinical environment.
  • Experience with MHS Genesis or civilian healthcare computer system and in processing medical claims.
  • Experience in a customer service environment.
Preferred Qualifications
  • Fluency 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—Word, Excel, PowerPoint, and Outlook.
  • Ability to reply tactfully with people on the phone and in person.
  • Ability to work independently and under minimal supervision.
  • Excellent organizational skills and time management skills.
  • Detail oriented.
  • Ability to multitask.
  • Knowledge of Defense Enrollment Eligibility Reporting System and MHS Genesis.