TRICARE Beneficiary Services Representative

6 days ago


Lakenheath, Suffolk, United Kingdom 00100 LEIDOS, INC. Full time
Beneficiary Services Representative Opportunity

We are seeking a highly skilled and detail-oriented individual to join our team as a Beneficiary Services Representative. In this role, you will provide critical support to military families by assisting with TRICARE enrollment, benefits verification, and customer service.

Key Responsibilities:
  • Verify benefits eligibility and process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System and Customer Relationship Manager systems.
  • Resolve enrollment discrepancies between systems and run weekly reports.
  • 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 portability/disenrollment processes.
  • Conduct briefings for In Processing, Out Processing, Maternity, and other events.
  • Provide basic claims assistance, including claim status information.
  • Collect and record Health Information into applicable systems.
  • Assess assistance levels and forward calls or refer as needed to address beneficiary questions.
  • Collect and report information on daily activities performed.
  • Complete tasks on a timely basis and 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.
Requirements:
  • High school diploma or GED.
  • Must be SOFA/Command Sponsored as a dependent of an Active-Duty Service Member or DoD employee.
  • Must be a US Citizen to be considered for this position.
  • Be eligible for and maintain ADP II/IT II clearance.
  • 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 the CHCS or civilian healthcare computer system and in processing medical claims.
  • Experience in a public environment.
Preferred 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 general supervision.
  • Excellent organizational skills and time management skills.
  • Detail oriented.
  • Ability to multitask.
  • Associate degree is preferred.
  • Knowledge of Defense Enrollment Eligibility Reporting System and CHCS.

We offer a competitive compensation package and a dynamic work environment. If you are a motivated and detail-oriented individual who is passionate about providing exceptional customer service, we encourage you to apply for this exciting opportunity.



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