Tricare Beneficiary Service Representative

hace 3 semanas

Segovia, Segovia, España Leidos A tiempo completo
Make a Difference in the Lives of Military Families

As a Beneficiary Services Representative Floater at Leidos, you will play a vital role in providing education and enrollment services for the TRICARE Overseas Program under the Defense Health Agency. Your expertise will help ensure that eligible beneficiaries receive the care they need, and you will serve as a trusted liaison for the beneficiary population.

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 the appropriate assistance level needed and refer or escalate as necessary to address the issue at hand.
  • 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 the following areas: U.S. military healthcare delivery system or civilian managed care medical/administrative environment, medical or clinical environment, MHS Genesis or civilian healthcare computer system, and customer service environment.
Desired 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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