TRICARE Beneficiary Services Representative(m/w/x)

Description

As a TRICARE Beneficiary Services Representative, you will play a vital role in educating beneficiaries about their healthcare options, processing enrollments, and providing support for claims. Your day will involve guiding individuals through TRICARE resources and leading informative sessions to ensure they receive the assistance they need.

Requirements

• •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

Tasks

• •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

Tools & Technologies

Benefits