- Verify benefits eligibility and process enrollments, disenrollments, portability transfers, and more using the Defense Online Enrollment System, Customer Relationship Manager systems, etc. Register beneficiaries in the Composite Health Care System
- Resolve enrollment discrepancies between systems, and run weekly reports
- Perform Primary Care Manager changes, following the Military Treatment Facility guidelines
- Provide education on 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 portability/disenrollment processes
- Conduct briefings for In Processing, Out Processing, Maternity, and others
- Provide basic claims assistance such as providing information on the status of claims
- Collect and record other Health Information into applicable systems
- Assess 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
- Complete on a timely basis and comply with HIPAA regulations, Leidos, and other training and refresher courses
- Maintain confidentiality and proper handling of Protected Health Information
- Adhere to a business casual dress code
- High school diploma or GED
- Must be SOFA/Command Sponsored as a dependent of an Active-Duty Service Member or DoD employee
- Must be a US Citizen to be considered for this position
- Be eligible for and maintain ADP II/IT II clearance
- Three years' cumulative experience in the following areas:
- Experience in 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
- Be 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 reply 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
- Associate degree is preferred
- Knowledge of Defense Enrollment Eligibility Reporting System and CHCS.
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