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TRICARE Beneficiary Services Representative

2 months ago

FeastervilleTrevose, Pennsylvania, United States 00100 LEIDOS, INC. Full time
Beneficiary Services Representative Job Description

We are seeking a highly skilled and detail-oriented Beneficiary Services Representative to join our team at Leidos, Inc. in Gelsenkirchen, Germany.

Job Summary

The Beneficiary Services Representative will provide education and enrollment services for the TRICARE Overseas Program under the Defense Health Agency. This role will serve as a liaison for the beneficiary population, ensuring seamless communication and support.

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 via 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 other events.
  • Provide basic claims assistance, including information on claim status.
  • Collect and record Health Information into applicable systems.
  • Assess assistance levels and refer or escalate as needed.
  • Collect and report daily activities performed.
  • 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.
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.
  • Three years' cumulative 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 Qualifications
  • Fluency in English.
  • Proficient in written and oral communications.
  • 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.

We offer a competitive salary and benefits package, including paid time off, 10 paid federal holidays, 401K retirement plan, college tuition and technical certification assistance, on-the-job training, paid parental leave, paid disability leave, and an internal/external referral bonus program.