TRICARE Beneficiary Services Representative

4 days ago

Lakenheath, Suffolk, United Kingdom 00100 LEIDOS, INC. Full time
Job Summary

We are seeking a highly skilled and detail-oriented TRICARE Beneficiary Services Representative to join our team at Leidos. As a key member of our team, you will provide exceptional customer service and support to military families, ensuring they receive the best possible healthcare benefits.

Key Responsibilities
  • Verify benefits eligibility and process enrollments, disenrollments, and transfers using the Defense Online Enrollment System and other relevant systems.
  • Resolve enrollment discrepancies and run weekly reports to ensure accurate data.
  • 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 relevant events.
  • Provide basic claims assistance and collect and record Health Information into applicable systems.
  • Assess and address beneficiary questions, referring as needed to ensure timely resolution.
  • Collect and report information on daily activities performed.
  • Comply with HIPAA regulations, Leidos, and other training and refresher courses.
  • Maintain confidentiality and proper handling of Protected Health Information.
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
  • Fluent 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.

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