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.
Leidos is currently seeking a qualified Global TRICARE Service Center (GTSC) Beneficiary Service Representative for our Trevose, PA location.
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 the GTSC Call Center Manager.
Second Shift including weekends
Approximate Hours: 3:30PM-12AM/2:30PM-11PM
List daily duties and/or specific job responsibilities
•Process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System (DOES)
•Enroll beneficiaries over the phone.
•Assign primary care managers to TRICARE beneficiaries.
•Verify eligibility information for remote beneficiaries.
•Provide education and enrollment information to beneficiaries.
•Answer phones and handle faxed enrollment forms.
•Research and interpret benefits, policies, and procedures to military staff, remote site points of contact, and other resources.
•Work day, evening, overnight, and/or weekend hours, if assigned.
•Maintain electronic system/paper files and data integrity.
•Determine the appropriate assistance levels and when call forwarding or other referrals are needed to address the beneficiary’s question.
•Collect, process, retrieve, and disseminate transfer information to support the TRICARE active duty portability process.
•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 all required HIPAA, Leidos, and other training and refresher courses.
•Maintain required system accounts.
•Be eligible to obtain and maintain ADP II/IT II clearance.
•Adhere to the dress code at the GTSC Call Center.
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 a healthcare computer system and in processing medical claims.
- One year’s customer service experience in a public environment.
• Fluent in English
• Very good written and oral communications skills.
• Computer literate with Internet research experience.
• Proficient with Microsoft Office 2010 or later applications—Word, Excel, and Outlook.
• Ability to communicate tactfully and professionally with people.
• Ability to work independently and under general supervision.
• Excellent organizational and time management skills.
• Detail oriented.
• Ability to multitask.
• Knowledge of TRICARE Overseas programs, Defense Enrollment Eligibility Reporting System and DOES.
External Referral Bonus:Ineligible
Potential for Telework:No
Clearance Level Required:ADP2 / IT2
Scheduled Weekly Hours:40
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 33,000 employees support vital missions for government and commercial customers. Headquartered in Reston, Virginia, Leidos reported annual revenues of approximately $10.19 billion for the fiscal year ended December 28, 2018. For more information, visit www.Leidos.com.
Pay and Benefits
Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here.
Securing Your Data
Leidos will never ask you to provide payment-related information at any part of the employment application process. And Leidos will communicate with you only through emails that are sent from a Leidos.com email address. If you receive an email purporting to be from Leidos that asks for payment-related information or any other personal information, please report the email to email@example.com.
Commitment to Diversity
All qualified applicants will receive consideration for employment without regard to sex, race, ethnicity, age, national origin, citizenship, religion, physical or mental disability, medical condition, genetic information, pregnancy, family structure, marital status, ancestry, domestic partner status, sexual orientation, gender identity or expression, veteran or military status, or any other basis prohibited by law. Leidos will also consider for employment qualified applicants with criminal histories consistent with relevant laws.