TRICARE Beneficiary Service Representative
hace 2 semanas
Make a Difference in Military Healthcare
The Leidos team is seeking a skilled TRICARE Beneficiary Service Representative to provide critical support to our Active-Duty Military and their families. As a member of our team, you will play a vital role in educating and enrolling beneficiaries in the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA).
Key Responsibilities:
- Verify benefits eligibility and process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System (DOES) and other systems.
- Register TRICARE beneficiaries in the Composite Health Care System (CHCS).
- Resolve enrollment discrepancies between systems and run weekly reports.
- Perform individual and batch Primary Care Manager (PCM) changes, following MTF guidelines.
- Provide education on TRICARE resources and benefits, enrollment/disenrollment information, and customer service to beneficiaries over the phone and in person.
- Collect, process, retrieve, and disseminate transfer information to support the TRICARE active-duty portability/disenrollment process.
- Conduct briefings for In Processing, Out Processing, Maternity, and others.
- Provide basic claims support, including information on claims status.
- Collect and record Other Health Information (OHI) into applicable systems.
- Determine appropriate assistance levels and forward calls or refer as needed to address beneficiary questions.
- Collect and report information on daily activities performed.
- Complete all required HIPAA, Leidos, and other training and refresher courses.
- Maintain confidentiality and proper handling of Protected Health Information (PHI).
- Provide remote support to Leidos BSRs at other sites.
- Adhere to a business casual dress code.
Requirements:
- High school diploma or GED.
- SOFA/Command Sponsored as a dependent of an Active-Duty Service Member or DoD employee.
- US Citizenship required.
- Eligibility for and maintenance of ADP II/IT II clearance.
- Three years' cumulative experience in U.S. military healthcare delivery systems or civilian managed care medical/administrative environments, with experience in a medical or clinical environment, CHCS or civilian healthcare computer systems, and medical claims processing.
PREFERRED QUALIFICATIONS:
- Associate degree preferred.
- Knowledge of TRICARE Overseas programs, DEERS, DOES, and CHCS.
Join Our Team:
Leidos is an Equal Opportunity Employer committed to diversity and inclusion. We are proud to be a service-disabled, veteran-owned small business (SDVOSB) and a member of the National Minority Supplier Development Council (NMSDC). We offer a competitive salary and benefits package, including paid time off, 10 paid federal holidays, college tuition assistance, and an internal/external referral bonus program. Apply today to learn more about how you can support this worthwhile mission.
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