TRICARE Beneficiary Service Specialist

hace 2 semanas

Rota, Cádiz, España Leidos A tiempo completo

Description

As a key member of the Leidos team, you will play a vital role in supporting the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA). Your primary objective will be to provide exceptional education and enrollment support services to TRICARE eligible beneficiaries. This will involve assisting with benefits eligibility verification, processing enrollments, disenrollments, and portability transfers, as well as resolving discrepancies between systems and running weekly reports. You will also be responsible for registering TRICARE beneficiaries in the Composite Health Care System (CHCS), performing individual and batch Primary Care Manager (PCM) changes, and providing education on TRICARE resources and benefits. Additionally, you will be expected to collect and process transfer information to support the TRICARE active-duty portability/disenrollment process, conduct briefings for In Processing, Out Processing, Maternity, and other events, and provide basic claims support. Furthermore, you will be responsible for maintaining confidentiality and proper handling of Protected Health Information (PHI), as well as adhering to a business casual dress code. This position requires a strong ability to multitask, work independently, and respond tactfully to people on the phone and in person. A high level of organizational skills, time management skills, and attention to detail are also essential for success in this role. If you are a dedicated and detail-oriented individual with a passion for healthcare and customer service, we encourage you to apply for this exciting opportunity.

Responsibilities:

  • Verify benefits eligibility and process enrollments, disenrollments, portability transfers, and more using the Defense Online Enrollment System (DOES), Customer Relationship Manager (CRM) systems, etc.
  • Register TRICARE beneficiaries in the Composite Health Care System (CHCS)
  • Resolve enrollment discrepancies between systems, and run weekly reports
  • Perform individual and/or batch Primary Care Manager (PCM) changes, following the Military Treatment Facility (MTF) guidelines
  • Provide education on TRICARE resources and benefits, enrollment/disenrollment information, and customer service to beneficiaries on 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 such as providing information on the status of claims
  • Collect and record Other Health Information (OHI) information into applicable systems
  • Determine the appropriate assistance levels and when forward a call or refer as needed to address the beneficiary's question
  • Collect and report information on daily activities performed
  • Complete on a timely basis and comply with and 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
  • 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
  • Three years' cumulative experience in the following areas:
    • Experience in U.S. military healthcare delivery system or civilian managed care medical/administrative environment
    • Experience in a medical or clinical environment
    • Experience with the CHCS or civilian healthcare computer system and in processing medical claims
    • Experience in a public environment

Preferred Skills:

  • Associate degree is preferred
  • Knowledge of TRICARE Overseas programs, Defense Enrollment Eligibility Reporting System (DEERS), DOES, and CHCS.

About Us:

Leidos is a leading provider of innovative solutions in the defense, intelligence, and civil markets. We are committed to delivering exceptional customer service and driving results through our people, technology, and innovation. If you are a motivated and customer-focused individual with a passion for healthcare and technology, we encourage you to apply for this exciting opportunity.

Pay Range:

$28,600.00 - $51,700.00

The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

  • TRICARE Beneficiary Service Representative

    hace 3 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Are you looking for a challenging role in the healthcare industry? Do you want to make a difference in the lives of military families? Leidos has an exciting opportunity for a TRICARE Beneficiary Service Representative to join our team.The successful candidate will provide education and enrollment support services for the TRICARE Overseas Program under the...

  • TRICARE Beneficiary Service Representative

    hace 4 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Join Our Team as a TRICARE Beneficiary Service RepresentativeWe are seeking a highly skilled and dedicated individual to join our team as a TRICARE Beneficiary Service Representative. As a key member of our team, you will play a critical role in providing exceptional support to our military families and ensuring they receive the best possible healthcare...

  • TRICARE Beneficiary Service Representative

    hace 2 meses

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe are seeking a highly skilled and detail-oriented TRICARE Beneficiary Service Representative to join our team at Leidos. As a key member of our team, you will provide exceptional support to our Active-Duty Military and their families by assisting with TRICARE benefits and enrollment services.Key ResponsibilitiesVerify benefits eligibility and...

  • TRICARE Beneficiary Service Representative

    hace 2 meses

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe are seeking a highly skilled and detail-oriented TRICARE Beneficiary Service Representative to join our team at Leidos. As a key member of our team, you will provide exceptional support to our military families by assisting with TRICARE benefits and enrollment services.Key ResponsibilitiesVerify benefits eligibility and process enrollments,...

  • TRICARE Beneficiary Service Representative

    hace 2 meses

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe are seeking a highly skilled and detail-oriented TRICARE Beneficiary Service Representative to join our team at Leidos. As a key member of our team, you will provide exceptional support to our Active-Duty Military and their families by assisting with TRICARE benefits and enrollment services.Key ResponsibilitiesVerify benefits eligibility and...

  • TRICARE Beneficiary Service Representative

    hace 2 meses

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe are seeking a highly skilled and detail-oriented TRICARE Beneficiary Service Representative to join our team at Leidos. As a key member of our team, you will provide exceptional support to our military families by assisting with TRICARE benefits and enrollment services.Key ResponsibilitiesVerify benefits eligibility and process enrollments,...

  • TRICARE Beneficiary Service Representative

    hace 2 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Make a Difference in Military HealthcareThe 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...

  • TRICARE Beneficiary Service Representative

    hace 3 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Are you looking for a challenging role in the healthcare industry? Leidos has an exciting opportunity for a TRICARE Beneficiary Service Representative in Rota, Spain.The successful candidate will provide education and enrollment services for the TRICARE Overseas Program under the Defense Health Agency. This role involves working with beneficiaries to...

  • TRICARE Beneficiary Service Representative

    hace 2 semanas

    Rota, Cádiz, España Leidos A tiempo completo

    Job SummaryWe are seeking a highly skilled Beneficiary Services Representative Floater to join our team at Leidos. As a TRICARE liaison for the beneficiary population, you will provide beneficiary education and enrollment services for the TRICARE Overseas Program under the Defense Health Agency.Key ResponsibilitiesVerify benefits eligibility and process...

  • TRICARE Beneficiary Service Representative

    hace 2 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Are you looking for a challenging role that allows you to make a difference in the lives of military families? As a TRICARE Beneficiary Service Representative, you will play a critical role in providing education and enrollment support services for the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA).Key Responsibilities:Verify benefits...

  • TRICARE Beneficiary Service Representative

    hace 3 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Transform Lives with LeidosAre you passionate about delivering exceptional customer service and making a meaningful impact in the lives of military families? Do you have a strong background in healthcare and a desire to work in a dynamic, mission-driven environment?About the Role:We are seeking a highly skilled TRICARE Beneficiary Service Representative to...

  • TRICARE Beneficiary Service Representative

    hace 2 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Are you looking for a challenging and rewarding career in healthcare? Leidos has an exciting opportunity for a TRICARE Beneficiary Service Representative in Rota, Spain.The successful candidate will provide beneficiary education and enrollment services for the TRICARE Overseas Program under the Defense Health Agency. This role requires strong communication...

  • TRICARE Beneficiary Service Representative

    hace 2 meses

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe 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 critical support to military families by assisting with TRICARE enrollment, disenrollment, and other benefits-related services.Key ResponsibilitiesVerify benefits eligibility and...

  • TRICARE Beneficiary Service Representative

    hace 2 meses

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe 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 critical support to military families by assisting with TRICARE enrollment, disenrollment, and other benefits-related services.Key ResponsibilitiesVerify benefits eligibility and...

  • TRICARE Beneficiary Service Representative

    hace 3 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe are seeking a highly skilled and experienced Beneficiary Services Representative Floater 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 ResponsibilitiesProvide beneficiary education and enrollment services for the...

  • TRICARE Beneficiary Service Representative

    hace 4 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe are seeking a highly skilled and experienced Beneficiary Services Representative Floater to join our team at Leidos. As a key member of our team, you will provide critical support to our TRICARE Overseas Program, ensuring that beneficiaries receive the highest level of service and care.Key ResponsibilitiesVerify benefits eligibility and process...

  • TRICARE Beneficiary Service Representative

    hace 4 semanas

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe are seeking a highly skilled and experienced Beneficiary Services Representative Floater to join our team at Leidos. As a key member of our team, you will provide critical support to our TRICARE Overseas Program, ensuring that beneficiaries receive the highest level of service and care.Key ResponsibilitiesVerify benefits eligibility and process...

  • TRICARE Beneficiary Service Representative

    hace 1 mes

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe are seeking a highly skilled and experienced Beneficiary Services Representative Floater to join our team at Leidos. As a key member of our team, you will provide critical support to our TRICARE Overseas Program, ensuring that beneficiaries receive the highest level of service and care.Key ResponsibilitiesVerify benefits eligibility and process...

  • TRICARE Beneficiary Service Representative

    hace 1 mes

    Rota, Cádiz, España 00100 LEIDOS, INC. A tiempo completo

    Job SummaryWe are seeking a highly skilled and experienced Beneficiary Services Representative Floater to join our team at Leidos. As a key member of our team, you will provide critical support to our TRICARE Overseas Program, ensuring that beneficiaries receive the highest level of service and care.Key ResponsibilitiesVerify benefits eligibility and process...

  • TRICARE Beneficiary Service Representative

    hace 1 semana

    Rota, Cádiz, 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 healthcare team, you will provide critical services to beneficiaries of the TRICARE Overseas Program.Key Responsibilities:Verify benefits eligibility and process enrollments, disenrollments, and portability transfers using the...