TRICARE Payment Processing Specialist

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Overall Purpose of the Role

The TRICARE Enrollment Payment Processing Specialist (TEPPS) position is responsible for the accurate BSC Payment Processing & Reconciliation in coordination with external sub-contractors.

Responding to inbound calls or contact from our beneficiaries based around the world, either current or former members of the US military and their families, who want to access medical services.

Key Responsibilities

• This is a shift-based role with fixed schedules (based on business needs)
• 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.
• 75% of this job responsibility is having the ability to complete Finance Reconciliation & non-phone related tasks specific to Finance Reconciliation.
• 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.
• Maintain specific quality and quantity standards.
• Adhere to company policies and procedures at all times.
• Assist with the training of new staff by mentoring them during their training program upon request.
• Comply within established service recovery protocol.
• Attends and participates in International SOS staff meetings and educational offerings.
• Carrying out any other reasonable duties as requested by the manager.

Required Qualifications

Required Work Experience (Brief description of the job-related experience needed to perform the job)

• Customer Service Experience in person or on the phone.
• or equivalent Military Experience
• Familiarity with the claims process preferred

Required Qualifications (Brief description of the educational background needed to perform the job)

• Required: Strong knowledge and proficiency with Excel: Creating spreadsheets, creating and applying formulas, adding pivot tables, and analyzing data. The position is excel heavy and needs someone that is extremely comfortable with the program.
• Eligible to obtain interim Tier 1 Investigation and maintaining full Tier 1 Access after starting with International SOS. Eligible to obtain and maintain a Common Access Card (CAC) within completion of training (International SOS will facilitate clearance process)
• Proficient at typing
• Proficient at basic computer applications (Microsoft Suite, Web browsing)
• Preferably educated to high school level or equivalent
• A proven history in Finance Reconciliation is Preferred

Required Languages (Brief description of the language skills needed to perform the job)

• English language skills (oral and written)
• Ability to speak, read and write in Spanish preferred.
• Bilingual in any other language is preferred

Travel / Rotation/Other Requirements

• This is a shift-based role with fixed schedules (based on business needs)

This 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 . This is subject to regular review.

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.