TRICARE Healthcare Services Representative

5 giorni fa

Aviano, Italia 00100 LEIDOS, INC. A tempo pieno

Role Summary

00100 LEIDOS, INC. is seeking a TRICARE Beneficiary Services Representative to provide education and enrollment services for the TRICARE Overseas Program.

Duties and 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 via 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 other relevant activities.

• Provide basic claims assistance, including information on claim status.

• Collect and record health information into applicable systems.

• Assess and address beneficiary inquiries, forwarding calls or referrals as needed.

• Collect and report information on daily activities performed.

• Maintain confidentiality and proper handling of Protected Health Information.

• Adhere to business casual dress code.

Requirements

• High school diploma or equivalent.

• SOFA/Command Sponsorship as a dependent of an Active-Duty Service Member or DoD employee.

• US Citizenship.

• Eligibility for and maintenance of ADP II/IT II clearance.

• Three years cumulative experience in U.S. military healthcare delivery systems, civilian managed care medical/administrative environments, medical or clinical environments, CHCS or civilian healthcare computer systems, and processing medical claims.

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