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Beneficiary Service Rep - Trevose, PA

Job Description:
Leidos is currently
seeking a qualified Global TRICARE Service Center (GTSC) Beneficiary Service
Representative to work onsite in our Trevose, PA location.
Military and Veteran's
Health Solutions Group TRICARE Overseas Program (TOP) program provides
enrollment, marketing, and education services to military communities around
the world. The TOP enrollment program includes the Pacific, Eurasia-Africa, and
Latin America and Canada (TLAC) regions and the Global TRICARE Service Center
in Trevose, PA.
Job Type: Full-time
Salary: $16. 38 /hour
Hours: 2nd shift 2:30 OR
3:30PM - 11 or midnight
Position Overview:
Under minimal
supervision, serve as TRICARE liaison for TRICARE Overseas Prime (TOP)
beneficiary population. Independently perform a variety of tasks that are broad
in nature and concerned with customer service, enrollment/disenrollment,
portability, TRICARE education, and issues tracking. Maintain confidentiality
and ensure that information meets the standards and requirement established by
partnering professional organizations.
Reports to TOP Regional
Lead for the specific region.
Responsibilities:
Process registration of TRICARE beneficiaries in the Composite Health Care
System (CHCS).
Process enrollments, disenrollments, and portability transfers using the
Defense Online Enrollment System (DOES).
Process and correct enrollment discrepancies between CHCS and DOES.
Assign primary care managers to TRICARE beneficiaries.
Verify eligibility information for remote beneficiaries.
Provide education and enrollment information to beneficiaries on the phone and
in person.
Assist walk-in beneficiaries with enrollments and inquiries.
Handle faxed enrollment forms.
Research and interpret benefits, policies, and procedures to military staff,
remote site points of contact, and other resources.
Maintain electronic system/paper files and data integrity.
Provide customer support to the Military Treatment Facility Commander and/or
the TRICARE Area Office staff as directed by the TOP Regional Lead, Deputy
Program Manager, or Program Manager.
Serve as liaison between the TRICARE Regional offices and TRICARE beneficiaries
for transitional/portability assistance.
Collect, process, retrieve, and disseminate transfer information to support the
TRICARE active duty portability process.
Conduct off-site briefings such as enrollment briefings, fairs, or other
functions when directed by the TOP Regional Lead.
Determine the appropriate assistance levels and when call forwarding or other
referrals are needed to address the beneficiary's question.
Complete all responsibilities and duties in accordance with the Health
Insurance Portability and Accountability Act (HIPAA) guidelines to include
proper handling of Protected Health Information.
Complete on a timely basis and comply with and all required HIPAA, Leidos, and
other training and refresher courses.
Maintain required system accounts.
Be eligible for and maintain ADP II/IT II clearance.
Adhere to the dress code at the TSC.
Required Education and
Skills:
High school diploma or GED. Associate's degree preferred.
Three years' cumulative experience in the following areas:
Two years' experience in U. S. military healthcare delivery system or civilian
managed care medical/administrative environment.
Two years' experience in a medical or clinical environment.
One year's experience with the CHCS or civilian healthcare computer system and
in processing medical claims.
One year's customer service experience in a public environment.
Key Competencies:
Fluent in English.
Proficient in written and oral communications.
Effective presentation skills.
Computer literate with Internet research experience.
Proficient with Microsoft Office 2007 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.
Knowledge of TRICARE Overseas programs, Defense Enrollment Eligibility
Reporting System (DEERS), DOES, and CHCS.
healthsummer
DHI
External Referral Bonus:
No
Potential for Telework:
No
Clearance Level Required:
ADP2 / IT2
Travel:
No
Scheduled Weekly Hours:
40
Shift:
Day
Requisition Category:
Professional
Job Family:
Administrative
2000
Health

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