TRICARE Beneficiary Services Representative
Vor 2 Tagen
We are seeking a highly skilled and detail-oriented Beneficiary Services Representative to join our team at Leidos. As a key member of our team, you will provide exceptional customer service and support to TRICARE beneficiaries, ensuring they receive the best possible care and benefits.
Key Responsibilities- Verify benefits eligibility and process enrollments, disenrollments, and transfers using the Defense Online Enrollment System and other relevant 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 interactions.
- 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 relevant events.
- Provide basic claims assistance, including providing 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.
- Complete tasks on a timely basis and 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 and shadow support to new BSRs as needed.
- Adhere to a business casual dress code.
- 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.
- 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 MHS Genesis or civilian healthcare computer system and in processing medical claims.
- Experience in a customer service environment.
- Fluency 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—Word, Excel, PowerPoint, and Outlook.
- Ability to reply tactfully with people on the phone and in person.
- Ability to work independently and under minimal supervision.
- Excellent organizational skills and time management skills.
- Detail-oriented.
- Ability to multitask.
- Knowledge of TRICARE Overseas programs, Defense Enrollment Eligibility Reporting System (DEERS), DOES, and MHS Genesis.
At Leidos, we take pride in making a difference every day. We offer a competitive paid time off (PTO) package, 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 incredible internal/external referral bonus program that rewards you for knowing and introducing great talent to us.
We are committed to creating a workplace that is inclusive, diverse, and supportive of our employees' growth and well-being. If you are passionate about delivering exceptional customer service and making a difference in the lives of our military families, we encourage you to apply for this exciting opportunity.
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