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