Job Title: TRICARE Beneficiary Services Representative (BSR)

We are seeking a highly skilled and experienced individual to provide beneficiary education and enrollment services for the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA).

In this role, you will be responsible for providing customer support, beneficiary education, assistance in claims, appeals, and grievances processing, and healthcare support services designed to assist DHA in operating an integrated healthcare delivery system for all overseas beneficiaries.

This is a great opportunity to make a difference for so many of our valued military families.

Why Leidos?

Leidos is a leading provider of innovative solutions that make a difference for every person we support. We offer a range of benefits including competitive paid time off (PTO), 10 paid holidays, flexible schedule, college tuition and technical certification assistance, on-the-job training support, paid parental leave, paid disability leave, and an incredible referral bonus program that rewards you for knowing and sharing great talent with us.

At Leidos, we empower our teams, contribute to our communities, and operate sustainably. Everything we do is built on a commitment to do the right thing for our customers, our people, and our community.

Key Responsibilities:

• Verify benefits eligibility and process enrollments, disenrollments, portability transfers, and more using the Defense Online Enrollment System (DOES), Customer Relationship Manager (CRM) systems, etc.
• Register TRICARE beneficiaries in the MHS Genesis system.
• Perform individual and/or batch Primary Care Manager (PCM) changes following the Military Treatment Facility (MTF) guidelines.
• Provide education on TRICARE resources and benefits, enrollment/disenrollment information, and customer service to beneficiaries on the phone and in person.
• Collect, process, retrieve, and disseminate transfer information for active-duty and active-duty family member portability/disenrollment processes.
• Conduct briefings for In-Processing, Out-Processing, Maternity, pre-separation/retirement, and other events.
• Provide basic claims assistance such as providing information on the status of claims.
• Collect and record Other Health Insurance (OHI) information into applicable systems.
• Assess the appropriate assistance level needed and refer or escalate as needed to address the issue at hand.
• Collect and report information on daily activities performed.
• Complete on a timely basis and comply with all HIPAA regulations, Leidos, and other training and refresher courses.
• Maintain confidentiality and proper handling of Protected Health Information (PHI).
• Provide remote support to Leidos BSRs at other sites.
• Provide shadow support to new BSRs as needed.
• Adhere to a business casual dress code.
• Other duties as assigned.

Basic Qualifications:

• High school diploma or GED
• U.S. Citizenship
• Eligible for and ability to maintain ADP IT-III clearance/Non-Sensitive Position, Tier 1
• Three years' cumulative experience in the following areas:

• U.S. military healthcare delivery system or civilian managed care medical/administrative environment
• Medical or clinical environment
• MHS Genesis or civilian healthcare computer system and in-processing medical claims
• Customer service environment

You Also Need to Have These Basic Skills:

• Fluent in English
• Proficient in written and oral communications
• Possess effective presentation skills
• Computer literate with Internet research experience
• Proficient with Microsoft Office 2010 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

Extra Awesome If You Have:

• Knowledge of TRICARE Overseas programs, Defense Enrollment Eligibility Reporting System (DEERS), DOES, and MHS Genesis.
• SOFA/Command Sponsored as a dependent of an Active-Duty Service Member, DoD employee or US Contractor supporting the DoD.*

*IMPORTANT: Candidates who do not hold a SOFA/Command sponsorship must be able to provide required documentation in order to obtain SOFA through Leidos for employment in Japan. Candidates will not be eligible for sponsorship until their first day of employment.

Candidates are solely responsible for all relocation-related expenses incurred at their own risk and the TRICARE Overseas Program does not reimburse any incurred housing, cost of living, or expenses while in residing in Japan to include relocating back to the US.

PAY NOTE:

The annual salary for this specific position is $32,000 and the program is not able to negotiate that.