TRICARE Beneficiary Services Representative

1 month ago

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

Are you looking for a challenging role in the healthcare industry? Do you have experience in medical administration or customer service? Leidos is seeking a skilled TRICARE Beneficiary Services Representative to join our team in Croughton, UK.

Job Summary:

The TRICARE Beneficiary Services Representative will provide education and enrollment services for the TRICARE Overseas Program under the Defense Health Agency. This role will involve verifying benefits eligibility, processing enrollments and disenrollments, and resolving enrollment discrepancies.

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 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.
  • Adhere to a business casual dress code.
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.

Leidos is an equal opportunity employer committed to diversity and inclusion. We are proud to be a Disability Confident Employer and a VEVRAA Federal Contractor. If you are a qualified individual with a disability or a protected veteran, we encourage you to apply for our job openings.

Leidos is a leading provider of innovative technology, engineering, and project management solutions for government agencies and private sector companies. We are committed to making a difference in the lives of our customers and the communities we serve.

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