TRICARE Beneficiary Service Representative

hace 2 meses

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

We 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 Responsibilities
  • Verify benefits eligibility and process enrollments, disenrollments, and 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 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 via 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 other events.
  • Provide basic claims support, including providing information on claim status.
  • Collect and record Other Health Information (OHI) into applicable systems.
  • Determine the appropriate assistance levels and forward calls or refer as needed to address beneficiary questions.
  • Collect and report information on daily activities performed.
  • Complete HIPAA, Leidos, and other required training and refresher courses on a timely basis.
  • 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 U.S. military healthcare delivery systems, civilian managed care medical/administrative environments, medical or clinical environments, CHCS or civilian healthcare computer systems, and medical claims processing.
Preferred Qualifications
  • Associate degree.
  • Knowledge of TRICARE Overseas programs, Defense Enrollment Eligibility Reporting System (DEERS), DOES, and CHCS.
About Leidos

Leidos is a leading provider of innovative solutions in the defense, intelligence, and civilian markets. We take pride in making a difference for every person we support, and we are committed to creating a workplace that is inclusive, diverse, and rewarding.

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