TRICARE Beneficiary Service Representative

vor 1 Monat

Vaihingen an der Enz, Baden-Württemberg, Deutschland Leidos Vollzeit
Job Summary

We are seeking a highly skilled Beneficiary Services Representative Floater 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
  • Beneficiary Education and Enrollment
    • Verify benefits eligibility and process enrollments, disenrollments, portability transfers, and more using the Defense Online Enrollment System, Customer Relationship Manager systems, etc.
    • Register TRICARE beneficiaries in the MHS Genesis system
    • Perform Primary Care Manager changes, following the Military Treatment Facility guidelines
  • Customer Service and Support
    • Provide education on resources and benefits, enrollment/disenrollment information, and customer service to beneficiaries on the phone and in person
    • Collect, process, retrieve, and disseminate transfer information for active-duty and active-duty family member portability/disenrollment processes
  • Claims Assistance and Support
    • Provide basic claims assistance such as providing information on the status of claims
    • Collect and record other Health Information into applicable systems
  • Team Support and Collaboration
    • Assess the appropriate assistance level needed and refer or escalate as needed to address the issue at hand
    • Collect and report information on daily activities performed
    • Complete on a timely basis and comply with HIPAA regulations, Leidos, and other training and refresher courses
Requirements
  • Education and Experience
    • High school diploma or GED
    • 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
  • Clearance and Sponsorship
    • 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 clearance access level
Preferred Qualifications
  • Language and Communication Skills
    • Be fluent in English
    • Proficient in written and oral communications
  • Technical Skills
    • Proficient with Microsoft Office 2010 or later applications—Word, Excel, PowerPoint, and Outlook
  • Soft Skills
    • 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

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