Enrollment Specialist

2 days ago


Phoenix, Arizona, United States Triwest Healthcare Full time
Job Summary

We are seeking a highly skilled Enrollment Specialist to join our team at TriWest Healthcare Alliance. As a key member of our team, you will be responsible for supporting beneficiaries by performing complex account administration and billing reconciliation for TRICARE Prime and TRICARE Reserve Select programs.

Key Responsibilities
  • Research and validate beneficiary account billing records to reconstruct payment history and verify accurate fee statements are generated to the correct beneficiary address.
  • Research and reconcile beneficiary accounts from available reports and reconcile fees on Catastrophic Cap and Deductible system and PGBA TMBS billing systems.
  • Modify billing information in the PGBA TMBS billing systems and/or Defense On-line Enrollment system to reflect any changes to beneficiary status to appropriately disperse funds and ensure appropriate updates to other systems.
  • Update fee schedule and fee adjustments as needed on PGBA TMBS systems and Defense On-line Enrollment system.
  • Investigate and prepare refund requests.
  • Investigate and trigger notice to beneficiaries when insufficient payment of fees has been identified.
Requirements
  • Bachelor's degree in Accounting, Healthcare Administration, or other business-related field or equivalent experience.
  • U.S. Citizenship.
  • Must be able to receive a favorable interim and adjudicated final Department of Defense background investigation.
  • Experience in healthcare billing, Accounts Receivable, Auditing, or other Accounting-related discipline.
  • Thorough knowledge of Accounts Receivable and Accounting principles.
Benefits
  • Medical, Dental and Vision Coverage.
  • Generous paid time off.
  • 401(k) Retirement Savings Plan (with matching).
  • Short-term and long-term disability, basic life, and accidental death and dismemberment insurance.
  • Tuition reimbursement.
  • Paid volunteer time.

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.



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