TRICARE Beneficiary Service Representative

hace 3 semanas

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

Transform Lives with Leidos

Are 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 join our team at Leidos. As a key member of our team, you will provide critical support to military families by educating them on TRICARE benefits, processing enrollments, and resolving discrepancies. Your exceptional communication skills, attention to detail, and ability to work independently will make you a valuable asset to our team.

Responsibilities:

  • Verify benefits eligibility and process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System (DOES) and Customer Relationship Manager (CRM) systems.
  • 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 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 to 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 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, and experience in a public environment.

Preferred Qualifications:

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

Join Our Team:

Leidos is a leading provider of innovative technology, engineering, and cybersecurity solutions. We are committed to making a difference in the lives of our customers and employees. If you are passionate about delivering exceptional customer service and making a meaningful impact in the lives of military families, we encourage you to apply for this exciting opportunity.

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