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TRICARE Beneficiary Services Representative

2 months ago

Lakenheath, Suffolk, United Kingdom Leidos Holding Full time
Job Summary

We are seeking a highly skilled and detail-oriented individual to join our team as a TRICARE Beneficiary Services Representative. 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 experience.

Key Responsibilities
  • Verify benefits eligibility and process enrollments, disenrollments, and 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 on the 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 others.
  • Provide basic claims assistance, such as providing information on the status of claims.
  • Collect and record other Health Information into applicable systems.
  • Assess the appropriate assistance levels and forward calls or 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.
  • 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 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.
Preferred Qualifications
  • Be fluent 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.
About Leidos

Leidos is a Fortune 500 innovation company rapidly addressing the world's most vexing challenges in national security and health. We are committed to creating smarter technology solutions for our customers in heavily regulated industries.

We offer competitive compensation, Health and Wellness programs, Income Protection, Paid Leave, and Retirement benefits. Our company values diversity and inclusion, and we are an equal opportunity employer.