TRICARE Beneficiary Services Representative - Sembach

at  Leidos

Description
Are you looking for your next “great mission” professionally? Do you have more to give, want to learn new skills and be part of a team with a rewarding mission? Leidos has the perfect job for you in Sembach, Germany!
The BEST and BRIGHTEST come to Leidos, where we take pride in making a difference for every day! Leidos offers great benefits: competitive PTO packages, 10 paid federal holidays, college tuition and technical certification assistance, on the job training, paid parental leave, paid disability leave AND an incredible internal/external referral bonus program that rewards you for knowing and introducing great talent to us!
As part of the Leidos team as a Beneficiary Services Representative Floater, you will provide Beneficiary education and enrollment services for the TRICARE Overseas Program under the Defense Health Agency. You will also provide specific services to all eligible beneficiaries including beneficiary education and enrollment designed to assist in operating an integrated healthcare delivery system for all eligible beneficiaries overseas. Under minimal supervision, you will serve as a TRICARE liaison for the beneficiary population. This great job opportunity makes a difference for so many of our valued military families!

MINIMUM REQUIRED SKILLS:

• 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

• 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 Composite Health Care System
• Resolve enrollment discrepancies between systems, and run weekly reports
• Perform Primary Care Manager changes, following the 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 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 HIPAA regulations, Leidos, and other training and refresher courses
• Maintain confidentiality and proper handling of Protected Health Information
• Provide remote support to Leidos BSRs at other sites
• Adhere to a business casual dress code