TRICARE Beneficiary Services Representative(m/w/x)

Anforderungen

• High School diploma or GED or equivalent experience
• U.S. Citizenship
• SOFA/Command-Sponsored status as a dependent of an Active-Duty Service Member, DoD employee, or U.S. Contractor
• Eligible to obtain and maintain ADP IT III clearance
• 3+ years of customer service experience
• Fluency in English with strong written and oral communication
• Proficiency in Microsoft Office
• Effective presentation skills
• Ability to communicate tactfully
• Self-starter with ability to work independently
• Strong organizational and time management skills
• High attention to detail
• Familiarity with TRICARE Overseas Program and DEERS
• Work background in U.S. military healthcare delivery system or civilian managed care
• Experience in medical or clinical environment
• Familiarity with MHS Genesis or civilian healthcare systems

Aufgaben

• Process enrollments and disenrollments
• Manage portability transfers via DOES and MHS Genesis
• Update Primary Care Managers following MTF guidelines
• Provide guidance on TRICARE resources and benefits
• Assist beneficiaries with enrollment and claims inquiries
• Lead informational briefings for various events
• Collect and record daily activities and OHI information
• Evaluate and escalate complex issues for resolution
• Ensure compliance with HIPAA regulations
• Maintain confidentiality of Protected Health Information
• Complete required training courses on time
• Assist with remote support and train new team members

Berufserfahrung

Ausbildung

Sprachen

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