TRICARE Beneficiary Services Representative

Leidos

Manama

On-site

BHD 16,000 - 20,000

Full time

2 days ago
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Job summary

Leidos is seeking a detailed and customer-focused Benefits and Enrollment Specialist at NSA Bahrain. You will verify benefits enrollments, support TRICARE and DEERS related inquiries, and provide guidance to beneficiaries both in person and by phone. The role requires HIPAA compliance, strong English communication, and ability to work independently with minimal supervision.

Eligibility includes U.S. citizenship, access ID, and ADP IT III clearance. Prior healthcare or claims experience is a plus.

Qualifications

  • High School diploma or GED or equivalent years of experience.
  • U.S. Citizenship
  • Eligible to obtain NSA Bahrain access ID
  • Eligible to obtain and maintain ADP IT III clearance (Non-Sensitive Position, Tier 1)
  • Must meet country-specific requirements

Responsibilities

  • Verify Benefits enrollments, disenrollments, portability, transfers and more via systems like DOES and MHS Genesis.
  • Implement PCM changes following MTF guidelines.
  • Educate and assist beneficiaries on TRICARE resources, benefits enrollment and claims by phone or in person.
  • Provide basic claims status updates and support.

Skills

Fluent in English
Microsoft Office proficiency
Presentation skills
Communication skills
Independent worker
Organizational skills
Time management
Attention to detail

Education

High School diploma or GED

Job description

What You ll Do
  • Verify Benefits amp Enrollment Process enrollments disenrollments portability transfers and more via systems like Defense Online Enrollment System DOES and MHS Genesis
  • Primary Care Manager PCM Changes Follow Military Treatment Facility MTF guidelines to make individual and batch PCM updates
  • Education amp Customer Service Offer guidance on TRICARE resources benefits enrollment and claims assisting beneficiaries both in person and over the phone
  • Claims Assistance Provide basic claims status updates and support
  • Conduct Briefings Lead informational sessions for various events such as in out processing maternity and pre-separation retirement
  • Data Management Collect and record daily activities and Other Health Insurance OHI info into applicable systems
  • Assess amp Escalate Issues Evaluate the level of assistance needed and refer or elevate complex issues as needed for proper resolution
  • Compliance amp Confidentiality Comply with all HIPAA regulations maintain confidentiality and proper handling of Protected Health Information PHI and complete Leidos and other training courses on time
  • Collaborate amp Support Assist with remote support train new team members and other duties as assigned

High School diploma or GED, or equivalent years of experience U.S. Citizenship Eligible to obtain an ID card allowing access to NSA Bahrain Eligible to obtain and maintain ADP IT III clearance (Non-Sensitive Position, Tier 1) Must meet all country specific requirements

Essential Skills:
  • Fluent in English with strong written and oral communication
  • Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)
  • Effective at delivering presentations
  • Ability to tactfully communicate with others, both in person and on the phone
  • Self-starter, able to work independently and with minimal supervision
  • Strong organizational, time management, and multitasking abilities
  • High attention to detail
Preferred Qualifications:
  • 3+ years of customer service experience
  • Familiarity with TRICARE Overseas Program, Defense Enrollment Eligibility Reporting System (DEERS), DOES, and MHS Genesis
  • Work background in the following areas: U.S. military healthcare delivery system or civilian managed care
  • Medical or clinical environment
  • MHS Genesis or civilian healthcare systems, medical claims
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