Senior TRICARE Support Executive

Essential Job Duties and Responsibilities:

The Senior TSE position is responsible for the accurate BSC Payment Processing & Reconciliation in coordination with external sub-contractors. This shift-based role involves handling BSC Payment/Finance calls and performing finance reconciliation including payment reconciliation, cash applications, and issue resolution. The position requires strong Excel proficiency, previous Enrollments experience, and the ability to maintain quality standards while adhering to company policies and procedures.

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. 

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

• Inbound Calls: Handle BSC Payment/Finance calls, including payment completion, research, and resolution, ensuring quality standards.
• Finance Reconciliation: Perform finance reconciliation and related non-phone tasks.
• Payment Reconciliation: Reconcile internal payment logs with financial system reports.
• Cash Applications: Timely processing of check, wire, ACH, and credit card payments.
• Monthly Reconciliation Tasks: Complete tasks such as Auto Pay, Disenrollment, Unapplied Payments, Not Paid, Rejected, Suspended, No Match, Declines, Chargebacks, Returns, Batch, Allotment Deductions, Payment Transfers, and reconciliation within a team environment. Chargent project initiative will continue to evolve these report processes.
• Issue Resolution: Collaborate with supervisors and contractors to resolve cash application issues, including refunds for overpayments or duplicate payments.
• Reporting: Create internal correspondence summary reports.
• Subject Matter Support: Assist in complex and escalated enrolment cases.
• Quality and Quantity Standards: Maintain specific standards consistently.
• Policy Adherence: Follow company policies and procedures at all times.
• Training Support: Mentor new staff during their training program upon request.
• Service Recovery: Comply with established service recovery protocols.
• Meetings and Training: Attend and participate in staff meetings and educational offerings.

Additional Duties: Perform any other reasonable duties as requested by team leader and manager

 

Required Skills and Knowledge

Essential:

• Excel Proficiency: Strong knowledge and expertise in Excel, including creating spreadsheets, applying formulas, adding pivot tables, and analyzing data. This role requires someone highly comfortable with Excel.
• Personal Attributes: Mature, bright, personable, open-minded, and proactive.
• Creativity: Ability to develop new processes independently without needing encouragement.
• Quality and Quantity Standards: Maintain specific standards consistently.
• Communication: Ability to provide clear and concise written updates in English.
• Technical Skills: Proficient in web browsing and Microsoft Office (Outlook, Word, and basic Excel).
• Data Analysis: Skilled in using Excel for sorting, filtering, and analyzing data and reports.
• Professionalism: Maintain a professional environment through individual dress, workspace, and personal demeanor.
• Planning and Organization: Capable of planning and preparing for future events, formulating clear and structured action plans, prioritizing tasks effectively, and setting realistic expectations.
• Interpersonal Skills: Use appropriate interpersonal styles to inspire, guide, and work with others, adapt style and approach, motivate action in others, and facilitate change.

 

Description:

Required Competencies:

• Delivering Results & Meeting Customer Expectations:
  • Listens to and understands customer needs.
  • Seeks ways to resolve specific customer questions.
  • Sets high standards for quality and quantity.
  • Works systematically, methodically, and in an organized manner.
  • Owns issues until fully resolved to meet customer needs.
• Following Instructions & Procedures:
  • Adheres to procedures and policies.
  • Keeps to schedule and is punctual for work and meetings.
  • Demonstra