Healthcare Support Specialist

5 days ago

Wichita Falls, Texas, United States Triwest Healthcare Full time
Job Summary

We are seeking a highly skilled and dedicated individual to join our team as a Healthcare Support Specialist. This role will provide critical support to our Military Treatment Facilities (MTFs) and TRICARE beneficiaries, ensuring seamless healthcare services and exceptional customer experience.

Key Responsibilities
  • Develop and maintain a deep understanding of TRICARE's contracted responsibilities and performance requirements.
  • Serve as the designated onsite/on-call point of contact for MTF staff regarding enrollment, referrals, and authorizations.
  • Utilize the TriWest customer relationship management system (CRM) to refer issues to the appropriate corporate division for follow-up and resolution.
  • Monitor issues for trends and opportunities to improve services, identifying root causes and implementing corrective strategies.
  • Provide TRICARE information and education briefings for MTF staff, providers, and beneficiary groups.
  • Perform on-site and virtual outreach activities for military installation communities and beneficiary groups.
Requirements
  • High school diploma or equivalent required.
  • US citizenship required.
  • Must be able to receive a favorable Department of Defense (DoD) background investigation.
  • 2+ years of experience in working with the TRICARE Program in customer service and administrative support.
  • Demonstrated success working in a highly matrixed organizational environment.
Preferred Qualifications
  • Bachelor's degree in a health-related field (Health Administration, Health Policy, Public Health, Public Administration, or Communications).
  • Experience as a TRICARE Beneficiary Counseling and Assistance Coordinator (BCAC).
  • Experience working in MTF TRICARE business operations.

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