Health Benefits & Claims Specialist (TRICARE)

U.S. Department of Defense; Fort Leavenworth (KS); On-site; USD 52,000 - 76,000; Full time

Job summary

U.S. Department of Defense at Fort Leavenworth, Kansas is seeking a Health Benefits Specialist to serve as the primary contact for health benefits programs for eligible beneficiaries.

The role involves researching relevant regulations and interpreting information to assist individuals with inpatient and outpatient medical care under the USHBP and TRICARE programs. Responsibilities include resolving claims issues by phone, reviewing records, coordinating with other offices, and guiding

Qualifications

• Background investigation may be required.
• Seasonal influenza vaccination or approved exemption may be required.
• Immunization screening is required; Hepatitis B vaccination required for positions with direct patient contact.

Responsibilities

• Serve as point of contact on health benefits programs for eligible beneficiaries.
• Research applicable regulations and interpret information for individuals.
• Provide information and assistance on inpatient and outpatient medical care under USHBP and TRICARE.
• Research problems in the claims process by phone or other methods.
• Review records and coordinate with other offices to determine status of actions.
• Provide information on alternative care sources, treatment options, billing, and entitlement.

Skills

Health benefits knowledge

Regulatory research

Customer service

Record review

Interpersonal communication

Job description

U.S. Department of Defense at Fort Leavenworth, Kansas is seeking a Health Benefits Specialist to serve as the primary contact for health benefits programs for eligible beneficiaries.

The role involves researching relevant regulations and interpreting information to assist individuals with inpatient and outpatient medical care under the USHBP and TRICARE programs. Responsibilities include resolving claims issues by phone, reviewing records, coordinating with other offices, and guiding