- Verify benefits eligibility and process enrollments, disenrollment, portability transfers, and more using the Defense Online Enrollment System (DOES), Customer Relationship Manager (CRM) systems, etc.
- Register TRICARE beneficiaries in the Composite Health Care System (CHCS)
- Resolve enrollment discrepancies between systems, and run weekly reports
- Perform individual and/or batch Primary Care Manager (PCM) changes, following the Military Treatment Facility (MTF) guidelines
- Provide education on TRICARE resources and benefits, enrollment/disenrollment information, and customer service to beneficiaries on the phone and in person
- Collect, process, retrieve, and disseminate transfer information to support the TRICARE active-duty portability/disenrollment process
- Conduct briefings for In Processing, Out Processing, Maternity, and others
- Provide basic claims support such as providing information on the status of claims
- Collect and record Other Health Information (OHI) information into applicable systems
- Determine the appropriate assistance levels and when forward a call or refer as needed to address the beneficiary's question
- Collect and report information on daily activities performed
- Complete on a timely basis and comply with and all required HIPAA, Leidos, and other training and refresher courses
- Maintain confidentiality and proper handling of Protected Health Information (PHI)
- Provide remote support to Leidos BSRs at other sites
- Adhere to a business casual dress code
- 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
- 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 respond 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 TRICARE Overseas programs, Defense Enrollment Eligibility Reporting System (DEERS), DOES, and CHCS.
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TRICARE Beneficiary Services Representative-San Juan-C - 00100 LEIDOS, INC.
Descripción
Are you looking for your next "great mission" professionally? Do you feel like you have more to give, want to learn new skills and be part of a team with a rewarding mission supporting our Active-Duty Military and their families? Leidos has the perfect job for you
The BEST and BRIGHTEST come to Leidos, where we take pride in making a difference for every person we support Leidos offers great benefits: competitive PTO packages, 10 paid federal holidays, college tuition and technical certification assistance, on the job training support, paid parental leave, paid disability leave AND an incredible internal/external referral bonus program that rewards you for knowing and sharing great talent with us
As part of the Leidos team, you will provide Beneficiary education and enrollment support services for the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA). You will also provide specific services to all TRICARE eligible beneficiaries including customer support and assistance, beneficiary education, and enrollment support designed to assist DHA in operating an integrated healthcare delivery system for all eligible beneficiaries overseas. This great job opportunity makes a difference for so many of our valued military families
WHAT YOU WILL BE DOING:
FACTORS FOR SUCCESS:
HOW TO STAND OUT FROM THE CROWD:
PREFERRED:
Apply today to learn more about how you can support this worthwhile mission.
Pay Range:
Pay Range $28, $51,700.00The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
