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TRICARE Beneficiary Services Representative

vor 2 Monaten

Grafenwöhr, Bayern, Deutschland 00100 LEIDOS, INC. 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 our beneficiaries, ensuring they receive the best possible care and services.

Key Responsibilities
  • 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
  • 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
  • Conduct briefings for In Processing, Out Processing, Maternity, pre-separation/retirement and others
  • Provide basic claims assistance such as providing information on the status of claims
  • Collect and record other Health Information into applicable systems
  • 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
  • Maintain confidentiality and proper handling of Protected Health Information
  • Provide remote support to Leidos BSRs at other sites
  • Provide shadow support to new BSRs as needed
  • Adhere to a business casual dress code
  • Other duties as assigned
Requirements
  • 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
Preferred Qualifications
  • Be fluent in English
  • Proficient in written and oral communications
  • Possess 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.