[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, and capacity requests. Also assists with 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.
• Provides assistance 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 within contract compliance time frames.
• Provides insight on preventative tactics to avoid capacity and enrollment issues.
• Reviews MTF enrollment guideline update requests and processes documentation.
• 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 and provides timely resolutions.
• 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.

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