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TRICARE Beneficiary Services Representative

2 months ago

Brandon, Suffolk, United Kingdom Leidos Full time
About the Role

We are seeking a highly skilled and experienced Beneficiary Services Representative to join our team at Leidos. As a key member of our team, you will play a critical role in providing exceptional customer service and support to our beneficiaries.

Key Responsibilities
  • Beneficiary Education and Enrollment
    • Verify benefits eligibility and process enrollments, disenrollments, portability transfers, and more using the Defense Online Enrollment System, Customer Relationship Manager systems, etc.
    • Register TRICARE beneficiaries in the MHS Genesis system
    • Perform Primary Care Manager changes, following the Military Treatment Facility guidelines
  • Customer Service and Support
    • 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 and active-duty family member portability/disenrollment processes
  • Claims Assistance and Data Management
    • Provide basic claims assistance such as providing information on the status of claims
    • Collect and record other Health Information into applicable systems
  • Team Collaboration and Support
    • Assess the appropriate assistance level needed and refer or escalate as needed to address the issue at hand
    • Collect and report information on daily activities performed
  • Compliance and Confidentiality
    • 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
  • Education and Experience
    • High school diploma or GED
    • 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 MHS Genesis or civilian healthcare computer system and in processing medical claims
    • Experience in a customer service environment
  • Skills and Qualifications
    • Be eligible for and maintain ADP IT III / Non Sensitive Position, Tier 1
    • 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
About Leidos

Leidos is a leading provider of healthcare services and solutions to the U.S. Department of Defense and other government agencies. We are committed to delivering exceptional customer service and support to our beneficiaries and partners.