TRICARE Payment Processing Specialist Job at International SOS
Overall Purpose of the Role
The TRICARE TEPPS position is responsible for the accurate BSC Payment Processing & Reconciliation in coordination with external sub-contractors.
Key Responsibilities
- 25% of this job responsibility is related to answering inbound BSC Payment / Finance Phone Calls that may include but not limited to completing payment, payment research & payment resolution in alignment with quality expectations. Future inbound call responsibilities may require BSC Enrolment & Claims servicing.
- 75% of this job responsibility is having the ability to complete Finance Reconciliation & non-phone related tasks specific to Finance Reconciliation. A proven history in Finance Reconciliation is required.
- Required: Strong knowledge and proficiency with Excel – Creating spreadsheets, creating and applying formulas, adding pivot tables, and analysing data. The position is excel heavy and needs someone that is extremely comfortable with the program.
- Responsible for reconciliation of internal payment logs against financial system reports.
- Responsible for all cash applications including check, wire, ACH, and credit card payments on a timely basis.
- Ability to complete Auto Pay, Disenrollment, Unapplied Payments, Not Paid, Rejected, Suspended, No Match, Declines, Chargebacks, Returns, Batch, Allotment Deductions, Payment Transfers, reconciliation monthly working within a team environment.
- Work with internal supervisor and external contractors to resolve cash application issues with the customers, including refund of over payments or duplicate payments
- Create internal correspondence summary reports.
- Participate & complete non-phone work tasks & responsibilities.
- Demonstrates professional Business Acumen including causes a collaborative, inclusive work environment.
- Demonstrates consistently positivity being self-aware of one’s personal brand demonstrating the International SOS Beneficiary Brand, Core Values leading to a Beneficiary & Provider customer centric experience consistently delivered.
- Achieves & exceeds all qualitative and quantitative expectations including achieves and exceeds all KPI performance expectations.
- Understand and carry out all policies and procedures pertaining to the duties of a TRICARE Select Executive which govern the protection of confidential patient and beneficiary information as dictated by the United States
- Government in accordance with the International SOS Assistance, Inc. / TRICARE Overseas Program Contract.
- Adhere to all prescribed protocols. Maintain all documentation in accordance with company policies and procedures.
- Responsible for confirming eligibility to enroll into the TRICARE Select or Premium Based Program.
- Work directly with beneficiaries on premium payment management and discrepancy resolution via telephone, mail and email correspondence.
- Assist with the mentoring / training of new staff by mentoring them during their training program, when asked.
- Attends and participates in International SOS staff meetings and educational offerings.
Required Qualifications
Required Work Experience (Brief description of the job-related experience needed to perform the job)
- Government contractor experience a plus
- Good computer skills; basic knowledge of Microsoft Office
Required Qualifications (Brief description of the educational background needed to perform the job)
- Relevant accounting experience required
- Knowledge of accounts receivable or collection experience preferred
- Knowledge of general accounting practices, journal entries, and minimal analytical skills preferred
- Must be a US Citizen and able to obtain interim Tier 3/ Level II IT Security Clearance and maintain full Tier 3/ Level II IT Security Clearance (previously referred to as ADP II Clearance) upon offer acceptance
- Typing speed of 35 wpm
Required Languages (Brief description of the language skills needed to perform the job)
- English
- Spanish Speaker a plus
Travel / Rotation/Other Requirements
- Able to work shift work (Days, Evening) on a rotational basis.
- Complete special projects/other assignments as requested by management
This job description outlines the types of responsibilities the incumbent is required to perform. The incumbent may be required to perform job related tasks other than those specifically presented in this job description. This job description is subject to regular review.
International SOS Government Services, Inc. requires all prospective employees to be fully vaccinated against COVID- 19, where allowed by law.
International SOS is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.
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