Community Specialist supporting Clubhouse members through structured activities and engagement. Promoting personal goals and providing assistance in a recovery - oriented environment.
About the role
- TRICARE Community Liaison facilitating relationships between TRICARE beneficiaries and healthcare providers. Supporting military healthcare program with comprehensive communication skills and strong customer support.
Responsibilities
- Provide accurate explanation of TRICARE health plan policies and procedures
- Respond in precise, comprehensive and timely manner to beneficiary, provider, and Government inquiries
- Implement, track and complete self-managed tasks to process and correct uncomplicated general eligibility, enrollment, billing, claims, referrals/authorization, and network difficulties
- Research and resolve difficult, complex TRICARE problems/issues
- Assist in developing and sustaining a high-performing network in designated PSAs/NSPAs
- Conduct regular and ad hoc market laydown assessments
- Participate in value-based care pilots through effective communication, consultation and support of selected providers
- Respond to and assist in contingency operations in support of the MTF and network
Requirements
- U.S. Citizenship
- Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
- Must live within 60 mile radius of West Point, New York
- Willingness to travel and work uncommon hours
- One or two years’ experience in customer relations, public contact position, and/or TRICARE
- Experience in handling high volume customer contacts in a courteous and professional manner
- Exceptional public-speaking ability
- Comprehensive knowledge of Microsoft Office Suite
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
Job title
Job type
Experience level
Salary
Degree requirement
No Education Requirement
Location requirements
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