Military Healthcare Benefits Coordinator
hace 1 mes
We are seeking a skilled Military Healthcare Benefits Coordinator to join our team at Leidos, Inc. in San Juan, Puerto Rico.
As a Military Healthcare Benefits Coordinator, you will play a critical role in supporting the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA). Your primary responsibility will be to provide beneficiary education and enrollment support services, including customer support and assistance, beneficiary education, and enrollment support designed to assist DHA in operating an integrated healthcare delivery system for all eligible beneficiaries overseas.
About the Job
- 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 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 to support the TRICARE active-duty and active-duty family member portability/disenrollment process
- Conduct briefings for In Processing, Out Processing, Maternity, pre-separation/retirement, and others
- Provide basic claims support such as providing information on the status of claims
- Collect and record Other Health Information (OHI) information into applicable systems
- Determine the appropriate assistance levels and when forward a call or refer as needed to address the beneficiary's question
- Collect and report information on daily activities performed
- Assess the appropriate assistance level needed and refer or escalate as needed to address the issue at hand
- Complete on a timely basis and comply with and all required HIPAA, 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
- Adhere to a business casual dress code
- Provide shadow support to new BSRs as needed
- Other duties as assigned
About You
- You must have a high school diploma or GED
- You must be SOFA/Command Sponsored as a dependent of an Active-Duty Service Member or DoD employee
- You must be a US Citizen to be considered for this position
- You must be eligible for and maintain ADP IT III clearance/Non-Sensitive Position, Tier 1
- You must have three years' cumulative experience in the following areas: Experience in U.S. military healthcare delivery system or civilian managed care medical/administrative environment Experience in a medical or clinical environment Experience with the CHCS or civilian healthcare computer system and in processing medical claims Experience in a public environment
Your Skills
- You must be fluent in English
- You must be proficient in written and oral communications
- You must possess effective presentation skills
- You must be computer literate with Internet research experience
- You must be proficient with Microsoft Office 2010 or later applications—Word, Excel, PowerPoint, and Outlook
- You must be able to respond tactfully with people on the phone and in person
- You must be able to work independently and under general supervision
- You must have excellent organizational skills and time management skills
- You must be detail-oriented
- You must be able to multitask
About Our Company
Leidos is a leading provider of innovative technology, engineering, and project management solutions for government agencies and commercial markets. We value diversity, equity, and inclusion and offer competitive salaries and comprehensive benefits.
About the Location
San Juan, Puerto Rico is a beautiful island city with a rich history and culture. As a Military Healthcare Benefits Coordinator, you will have access to the best beaches, restaurants, and attractions that San Juan has to offer.
Compensation
The estimated salary range for this position is $28,600 - $51,700 per year, depending on your experience and qualifications. We also offer a comprehensive benefits package, including health insurance, retirement plan, paid time off, and professional development opportunities.
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