Tricare Beneficiary Service Representative

hace 4 semanas


Madrid, Madrid, España 00100 Leidos A tiempo completo

Job Summary:

Leidos is seeking a highly skilled and motivated Beneficiary Services Representative to join our team in Rota, Spain. 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 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 claim status information.
  • Collect and record Health Information into applicable systems.
  • Assess and refer or escalate issues as needed to address beneficiary concerns.
  • Collect and report 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.
  • SOFA/Command Sponsored as a dependent of an Active-Duty Service Member, DoD employee, or US Contractor supporting the DoD.
  • US Citizenship.
  • Eligibility for and maintenance of ADP IT III/Non Sensitive Position, Tier 1.
  • Ability to travel to multiple sites from 25%-75% of the time.

Preferred Qualifications:

  • Three years' cumulative experience in U.S. military healthcare delivery systems or civilian managed care medical/administrative environments.
  • Experience in medical or clinical environments.
  • Experience with MHS Genesis or civilian healthcare computer systems and medical claims processing.
  • Customer service experience.

What We Offer:

Leidos offers a competitive salary, paid time off, 10 paid federal holidays, 401K retirement plan, college tuition and technical certification assistance, on-the-job training, paid parental leave, paid disability leave, and an internal/external referral bonus program.

Apply Today:

Apply today to learn more about this exciting opportunity to join our team and make a difference in the lives of our beneficiaries.



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