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Job #: R-00001439
Location: Andersen Air Force Base Guam - Expat
Category: Administrative
Schedule (FT/PT): Full time
Travel Required: No
Shift: Day
Potential for Telework: No
Clearance Required: ADP2 / IT2
Referral Eligibility: Ineligible
Group: Health

Job Description:

Leidos is currently seeking a qualified Global TRICARE Service Center (GTSC) Beneficiary Service Representative for our Andersen, Guam 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.

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.

Primary Responsibilities

Required Education and Skills:

One of the following:
  • Associate's degree (bachelor's degree preferred) and four years medical experience
  • Eight years medical experience and no degree
  • Cumulative medical 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 experience with the CHCS or other civilian healthcare computer system and in processing medical claims.
  • One year customer service experience in a public environment.
  • Must be eligible for and maintain ADP II/IT2 clearance.

Key Competencies:

• Fluent in English. Multilingual ability preferred.

• Proficient in written and oral communications.

• Ability to respond tactfully with people.

• Ability to work independently and under general supervision.

• Excellent organizational skills, attention to detail, and time management skills.

• Ability to multitask.

• Knowledge of TRICARE Overseas programs, DEERS, CHCS, and Web General Inquiry of DEERS (GIQD)

External Referral Bonus:
Ineligible

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
Leidos is a Fortune 500® information technology, engineering, and science solutions and services leader working to solve the world’s toughest challenges in the defense, intelligence, homeland security, civil, and health markets. The company’s 31,000 employees support vital missions for government and commercial customers. Headquartered in Reston, Virginia, Leidos reported annual revenues of approximately $10.17 billion for the fiscal year ended December 29, 2017. (NYSE: LDOS) All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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