Beneficiary Services Representative

hace 7 días


Segovia, Segovia, España Leidos A tiempo completo
Job Summary

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.
Requirements
  • 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.
Preferred Qualifications
  • 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.


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