TRICARE Beneficiary Services Representative – Baumholder, Germany

at  Leidos

LOOKING FOR AN OPPORTUNITY TO MAKE AN IMPACT?

The Leidos Federal Health Solutions division is looking for individuals who feel they 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.
Join our team as a TRICARE Beneficiary Services Representative (BSR) in Baumholder, Germany! In this role, you will provide beneficiary education and enrollment services for the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA). Specific services to TRICARE-eligible beneficiaries include customer support, beneficiary education, assistance in claims, appeals, and grievances processing, and healthcare support services designed to assist DHA in operating an integrated healthcare delivery system for all overseas beneficiaries. This great job opportunity makes a difference for so many of our valued military families!

BASIC QUALIFICATIONS:

• High school diploma or GED, or equivalent years of experience.
• U.S. Citizenship
• SOFA/Command Sponsored as a dependent of an Active-Duty Service Member, DoD employee or US Contractor supporting the DoD
• Eligible for and ability to maintain ADP IT III clearance/Non-Sensitive Position, Tier 1
• Three years’ cumulative experience in the following areas:
• U.S. military healthcare delivery system or civilian managed care medical/administrative environment
• medical or clinical environment
• MHS Genesis or civilian healthcare computer system and in-processing medical claims
• customer service environment

YOU ALSO NEED TO HAVE THESE SKILLS:

• 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

• Verify benefits eligibility and process enrollments, disenrollments, portability transfers, and more using the Defense Online Enrollment System (DOES), Customer Relationship Manager (CRM) systems, etc.
• Register TRICARE beneficiaries in the MHS Genesis system.
• 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 for active-duty and active-duty family member portability/disenrollment processes.
• Conduct briefings for In-Processing, Out-Processing, Maternity, pre-separation/retirement, and other events.
• Provide basic claims assistance such as providing information on the status of claims.
• Collect and record Other Health Insurance (OHI) information into applicable systems.
• 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.
• Complete on a timely basis and comply with all HIPAA regulations, 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.
• Provide shadow support to new BSRs as needed.
• Adhere to a business casual dress code.
• Other duties as assigned.