Field Support Specialist

5 days ago

Fairbanks, Alaska, United States Triwest Healthcare Full time
Job Summary

This position will provide support to the Military Treatment Facility (MTF) at Eielson Air Force Base & Fort Wainwright. The successful candidate will work closely with the MTF staff to ensure seamless delivery of TRICARE services to beneficiaries.

Key Responsibilities
  • Develop and maintain a clear understanding of TriWest's contracted responsibilities and performance requirements related to support of the MTFs and their beneficiaries.
  • Serve as the designated onsite/on call TriWest point of contact for the MTF staff regarding any issues related to enrollment, referrals and authorizations, issues with network providers, and other related matters.
  • Utilizing the TriWest customer relationship management system (CRM), refer all identified issues to the appropriate TriWest corporate division for follow up and resolution according to MVS operating procedures.
  • Monitor issues referred to them for trends or opportunities to improve TriWest's services and identify root causes of frequently recurring matters referred to them.
  • Review and facilitate resolution of referral and authorization issues and trends, analyzing them for root causes and work with the MTF staff to identify and implement corrective strategies.
  • Provide TRICARE information/education briefings for meetings with MTF staff, providers, medical staff and beneficiary groups.
  • Perform on-site and virtual outreach activities for military installation community and beneficiary groups.
Requirements
  • High School Diploma or General Education Diploma (GED).
  • US Citizenship.
  • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
  • 2 or more years of experience in working with the TRICARE Program in customer service and administrative support to clinical operations and providers services or equivalent roles.
Preferred Qualifications
  • Bachelor's Degree in a health related studies (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.
Working Conditions

This position will require frequent travel to MTFs and TriWest hubs. The incumbent will be required to maintain availability to be reached by MTF staff or other TriWest team members via phone during normal working hours.

Extensive computer and telephone work will be required. The incumbent will be expected to maintain up-to-date knowledge of the Managed Care Support Contract, contract changes, the TRICARE Operations Manual (TOM), and TriWest policies and procedures applicable to this position.

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