TRICARE Beneficiary Services Representative
vor 2 Wochen
Are you looking for a challenging role in healthcare services? Leidos has an exciting opportunity for a Beneficiary Services Representative to join our team in Ramstein-Germany.
The successful candidate will provide education and enrollment services for the TRICARE Overseas Program under the Defense Health Agency. This includes verifying benefits eligibility, processing enrollments, and providing customer service to beneficiaries.
Key Responsibilities:
- Verify benefits eligibility and process enrollments, disenrollment, 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 clearance access level
- 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
Desired Skills:
- 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
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