TRICARE Beneficiary Services Representative

4 weeks ago

Northampton, Northamptonshire, United Kingdom 00100 LEIDOS, INC. Full time
Job Title: TRICARE Beneficiary Services Representative

Are you looking for a challenging and rewarding career in healthcare? Do you have a passion for helping others and making a difference in their lives? Leidos is seeking a highly skilled and motivated TRICARE Beneficiary Services Representative to join our team in Croughton, UK.

Job Summary:

The TRICARE Beneficiary Services Representative will provide education and enrollment services to beneficiaries of the TRICARE Overseas Program under the Defense Health Agency. This includes verifying benefits eligibility, processing enrollments and disenrollments, and resolving enrollment discrepancies. The successful candidate will also provide customer service to beneficiaries on the phone and in person, and will work closely with other teams to ensure seamless delivery of healthcare services.

Key Responsibilities:
  • Verify benefits eligibility and process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System and other systems.
  • Resolve enrollment discrepancies and run weekly reports.
  • Perform Primary Care Manager changes and provide education on resources and benefits to beneficiaries.
  • Provide customer service to beneficiaries on the phone and in person.
  • Collect, process, 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 and collect and record Health Information into applicable systems.
  • Assess the appropriate assistance levels and refer as needed to address beneficiary questions.
  • Collect and report information on daily activities performed.
  • Complete 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.
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 the following areas:
    • 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.
Desired Qualifications:
  • Fluency in English.
  • Proficient in written and oral communications.
  • Possess 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 salary and benefits package, including a 401(k) plan, paid time off, and opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity.

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