TRICARE Beneficiary Services Representative
5 days ago
We are seeking a highly skilled and experienced TRICARE Beneficiary Services Representative 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- Verify benefits eligibility and process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System (DOES) and other relevant systems.
- Provide education on TRICARE resources and benefits, enrollment/disenrollment information, and customer service to beneficiaries via phone and in-person.
- Collect, process, retrieve, and disseminate transfer information to support the TRICARE active-duty and active-duty family member portability/disenrollment process.
- Conduct briefings for In Processing, Out Processing, Maternity, pre-separation/retirement, and other relevant events.
- Provide basic claims support, including providing information on the status of claims.
- Collect and record Other Health Information (OHI) information into applicable systems.
- Determine the appropriate assistance levels and refer or escalate as needed to address beneficiary questions.
- Collect and report information on daily activities performed.
- Assess the appropriate assistance level needed and refer or escalate as needed to address issues.
- Complete all required HIPAA, Leidos, and other training and refresher courses in a timely manner.
- Maintain confidentiality and proper handling of Protected Health Information (PHI).
- Provide remote support to Leidos BSRs at other sites.
- Adhere to a business casual dress code.
- Provide shadow support to new BSRs as needed.
- High school diploma or GED.
- Must be a US Citizen.
- Be eligible for and maintain ADP IT III clearance/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.
- SOFA/Command Sponsored as a dependent of an Active-Duty Service Member, DoD employee or US Contractor supporting the DoD.
- 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 respond tactfully with people on the phone and in person.
- Ability to work independently and under limited 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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