TRICARE Beneficiary Services Representative
vor 2 Wochen
Are you looking for a challenging role in the healthcare industry? Do you have a passion for providing exceptional customer service? 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 disenrollments, and providing education on resources and benefits to beneficiaries.
The ideal candidate will have three years of cumulative experience in the U.S. military healthcare delivery system or a civilian managed care medical/administrative environment. They will also be proficient in written and oral communications, possess effective presentation skills, and be able to work independently and under minimal supervision.
As a Beneficiary Services Representative, you will have the opportunity to make a difference in the lives of military families and contribute to the success of our team. If you are a motivated and customer-focused individual who is passionate about providing exceptional service, we encourage you to apply for this exciting opportunity.
Key Responsibilities:
- Verify benefits eligibility and process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System and Customer Relationship Manager systems.
- Register TRICARE beneficiaries in the MHS Genesis system.
- Perform Primary Care Manager changes, following 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.
- Adhere to a business casual dress code.
- Provide shadowing support to new BSRs as needed.
- 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.
- Will be expected to travel to multiple sites from 25%-75% of the time.
- 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 Defense Enrollment Eligibility Reporting System and MHS Genesis.
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