Contact Representative

About the Position: Serves as a Contact Representative, a beneficiary advocate and advisor providing service and assistance to Military Health System beneficiaries in understanding and obtaining benefits via the TRICARE program. Serves as a Beneficiary Counseling and Assistance Coordinator and Debt Collection Assistance Officer.

Provide beneficiary counseling and assistance to ensure health benefit information is available to eligible beneficiaries.

Act as liaison to assist beneficiaries regarding the TRICARE program, coordinating with medical staff, Tricare Area office service centers, Managed Care Support Contractors, claims processor, and other concerned parties.

Coordinate briefings for the servicing community to include active duty, family members, newcomers, pre-deployment and post deployment.

Utilize various healthcare software applications to verify patient eligibility and complete patient enrollment.

Track medical claim cases using a system to categorize caseload by data elements for timely resolution.

Develop recommendations to change or modify existing procedures or policies that will subsequently provide more effective and improved health care to the beneficiary category populations.

Provide information to resolve problems involving access, payment of bills, and eligibility issues concerning medical care under the TRICARE program.

Interview or counsel customers.