Field Support Specialist

2 weeks ago

San Antonio, Texas, United States Triwest Healthcare Full time
Job Summary

This position is responsible for providing support to military treatment facilities (MTFs) and their beneficiaries. The incumbent will work closely with MTF staff to resolve issues related to enrollment, referrals, and authorizations, as well as provide non-clinical support for patient referrals and authorizations.

Key Responsibilities
  • Develops and maintains a clear understanding of TriWest's contracted responsibilities and performance requirements related to support of the MTFs and their beneficiaries.
  • Serves as the designated onsite/on call TriWest point of contact for the MTF staff regarding any issues related to enrollment, referrals, and authorizations.
  • Utilizes the TriWest customer relationship management system (CRM) to refer issues to the appropriate TriWest corporate division for follow-up and resolution.
  • Monitors issues referred to them for trends or opportunities to improve TriWest's services and identifies root causes of frequently recurring matters referred to them.
  • Reviews and facilitates resolution of referral and authorization issues and trends, analyzing them for root causes and working with the MTF staff to identify and implement corrective strategies.
  • Provides TRICARE information/education briefings for meetings with MTF staff, providers, medical staff, and beneficiary groups.
  • Documents and records performance of educational briefings provided for input to contract performance reporting.
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.

Benefits

TriWest Healthcare Alliance offers a comprehensive and progressive compensation and benefits package, including medical, dental, and vision coverage, generous paid time off, 401(k) retirement savings plan, short-term and long-term disability, basic life, and accidental death and dismemberment insurance, tuition reimbursement, paid volunteer time, and more.

Annual base salary: $66,000 - $73,000 depending on experience.

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer and is proud to have an inclusive work environment that cultivates and supports diversity at every organizational level.

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