[Hiring] TRICARE Enrollment Client Liaison @TriWest Healthcare

Role Description

Provides support and information to internal Military Veteran Services (MVS) customers related to MTF Enrollment support topics, including:

• Eligibility
• Enrollment
• Complex fee-related enrollments
• Status changes
• Reinstatements
• Refunds
• Fees
• Split-enrollments
• Dis-enrollments

Responsible for helping MVS maintain an effective relationship with MTF staff by:

• Assisting with enrollment related issues
• Processing enrollments
• Capacity requests
• Coordination of 100-mile waivers
• MTF Enrollment Guidelines
• MTF Bulk Enrollment spreadsheets
• MTF exception-to-policy guidelines

Qualifications

• High School diploma or G.E.D
• U.S. Citizenship
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• TRICARE enrollment experience
• Proven experience in providing excellent and professional customer service
• Intermediate level of Microsoft Word, Excel, and PowerPoint
• Associates degree or equivalent (Preferred)
• 4 years' experience in an administrative or medical office experience (Preferred)
• 2+ years recent TRICARE enrollment experience (Preferred)
• Prior experience as a team lead or subject matter expert (Preferred)

Requirements

• Provides the MVS team with expert TRICARE enrollment direction and advice
• Assists with the maintenance of MTF Enrollment guidelines
• Delivers troubleshooting support for Department of Defense (DoD) systems
• Utilizes advanced research techniques for problem-solving enrollment issues
• Manages the timely completion of issues by tracking, reporting, and resolving
• Processes MTF provider panel moves via the DEERS
• Provides insight on preventative tactics to avoid capacity and enrollment issues
• Reviews MTF enrollment guideline update requests
• Researches, problem solves, and processes complex fee-related enrollments
• Communicates with other TriWest staff to resolve complex issues
• Coordinates with Claims department to reprocess claims for reinstated beneficiaries
• Responds to incoming calls/e-mails/correspondence/faxes
• Assists in the documentation of established policies and procedures
• Defines and implements processes and best practices to ensure quality assurance
• Performs other duties as assigned
• Regular and reliable attendance is required

Benefits

• Medical, Dental and Vision Coverage
• Paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time
• Frequent pay raises and overtime opportunities
• Recognition and reward programs
• Salary range typically from around $50,000 to $56,000 per year

Company Description

Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do.

Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.