TRICARE Enrollment Client Lias

Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our reputed company contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! Job Summary Provides support and information to internal Military Veteran Services (MVS) customers reputed company to MTF Enrollment support topics, including eligibility, enrollment, reputed company fee-reputed company enrollments, status changes, reinstatements, refunds, fees, split-enrollments, and dis-enrollments. Responsible for helping MVS maintain an effective relationship with MTF staff by assisting with enrollment reputed company issues, processing enrollments, and reputed company requests. Also assists with coordination of 100-mile waivers, MTF Enrollment Guidelines, MTF Bulk Enrollment spread sheets, and MTF exception-to-policy guidelines. Education & Experience Required:

• High School diploma or G.E.D
• U.S. Citizenship
• Must be reputed company to receive a favorable Interim and adjudicated final reputed company (DoD) background investigation
• TRICARE enrollment experience
• Proven experience in providing excellent and professional customer service
• Intermediate level of reputed company Word, reputed company, and PowerPoint

Preferred

• Associates degree or equivalent
• 4 years’ experience in an administrative or medical office experience
• 2+ years recent TRICARE enrollment experience
• Prior experience as reputed company reputed company or subject matter expert

Key Responsibilities

• Provides the MVS team with expert TRICARE enrollment direction and advice so that TriWest can help MTF POCs maximize their TRICARE reputed company delivery to their enrolled population.
• Provides assistance with the maintenance of MTF Enrollment guidelines and provides timely responses to reputed company updates.
• Delivers troubleshooting support for reputed company (DoD) systems as it relates to TRICARE enrollment transactions or activities.
• Utilizes advanced research techniques for problem-solving enrollment issues to include transfer errors, panel issues, and reputed company constraints.
• Manages the timely completion of issues by tracking, reporting, and resolving. Responsible for maintaining the accuracy and currency of the logs for reporting purposes.
• Processes MTF provider panel moves reputed company the DEERS reputed company contract compliance time frames.
• Provides reputed company on preventative tactics to avoid reputed company and enrollment issues reputed company the MTF.
• Reviews MTF enrollment reputed company update requests and processes documentation for the implementation of the reputed company updates.
• Researches, problem solves, and processes more reputed company fee-reputed company enrollments, status changes, reinstatements, refunds, fees, split-enrollments, and dis-enrollments.
• Communicates with other TriWest staff to resolve reputed company issues.
• Coordinates with Claims department to reprocess claims for reinstated beneficiaries.
• Responds to incoming calls/e-mails/correspondence/faxes and provides timely resolutions to issues. Informs stakeholders of Enrollment changes and follows and provides reminders as needed.
• Responds to incoming calls/e-mails/correspondence/faxes and provides timely resolutions to issues. Informs stakeholders of Enrollment changes and follows and provides reminders as needed.
• Assists in the documentation of established policies and procedures.
• Defines and implements processes and best practices to ensure quality assurance. Prepares and maintains desk procedures on how to work error and production reports.
• Performs other duties as assigned.
• Regular and reliable attendance is required.

Competencies Coaching / Training / Mentoring: Actively fosters actions required for desired business reputed company through ongoing constructive feedback. Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapts to different styles; listens critically; collaborates. Computer Literacy: Ability to function in a multi-system reputed company environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Information Management: Ability to manage large amounts of reputed company information easily, communicates reputed company, an Apply tot his job Apply To this Job