Job Information
TRIWEST HEALTHCARE ALLIANCE CORP Supervisor, Enrollment Fees in PHOENIX, Arizona
Veterans, Reservists, Guardsmen and military family members are encouraged to apply!! We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, *HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, *WA, WI and WY only)
Job Summary
Supervises TRICARE Enrollment operations staff in a high volume production environment processing fee transactions in PGBA TMBS system and Catastrophic Cap Deductible Fee System (CCDFee). Coordinates staff training of new and existing staff on all aspects of Enrollment operations, including customer service. Collaborates with Managers to ensures the Enrollment department meets performance standards and service levels. Coaches and counsels employees on daily processing issues and tracks employee performance levels. Resolves complex enrollment issues escalated by staff. Coordinates work schedules to meet compliance standards
Education and Experience
Required:
Bachelor's degree in Accounting, Healthcare Administration, or other business-related field or equivalent experience US. Citizen Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation Experience in healthcare billing, Accounts Receivable, Auditing, or other Accounting-related discipline Thorough knowledge of Accounts Receivable and Accounting principles Preferred:
TRICARE Enrollment or fees experience in a production environment Payment processing in a healthcare plan Knowledge of PGBA TMBS system
Key Responsibilities
Supervises the Enrollment Fees staff by on PGBA TMBS system training, coaching, counseling, and developing staff. Ensures adequate coverage of Enrollment function and adjusts schedules based on workload utilizing Workforce Management software. Monitors Beneficiary Enrollment Account Analyst (BEAA) performance levels and real-time reports to ensure contract service standards are met. Functions as a Subject Matter Expert on the TRICARE Enrollment Fees processes and workflows. Functions as a Subject Matter Expert on the PGBA TMBS Fees processes related to allotment processing, RCC processing and Electronic funds transfers Oversees Reconciliations processes across day, week, month, year Represents the Enrollment Fees department in cross functional meetings. Participates in inter-departmental discussions to educate other departments on the Enrollment Fees business needs and learn the business needs of other departments to promote effective relationships for mutual successes. Resolves complex enrollment issues escalated by BEAA staff.
Monitors system and process discrepancies by researching, reporting on, and developing strategies for process improvement. Oversees regular reporting and special projects to ensure completion within required timelines. Makes outbound calls to beneficiaries/members to explain complex enrollment fees issues. Performs other duties as assigned. Regular and reliable attendance is required.
Competencies
Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; Adapt to different styles; Listen critically; Collaborate. Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Creativity / Innovation: Ability to develop unique and novel solutions to problems; View change as ecessary. Empathy / Customer Service: Customer-focused behavior; Helping approach, including listening skills, patience, respect, and empathy for another's position. Leadership: Successfully manage different styles of employees; Provide clear direction and effective coaching. Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Technical Skills: Thorough knowledge of TRICARE program, policies, and procedures; Strong understanding of Defense Enrollment Eligibility Reporting System; Knowledge of Enrollment-related software applications including TriMacs, TACC, WRDA, Defense Online Enrollment System (DOES), Catastrophic Cap Deductible Fee System (CCDFee), PCMRS PCM Research, PCM Reassignment (PCMRA) and PGBA TMBS system
Working Conditions
Working Conditions: Availability to cover any work shift Works within a standard office environment, with minimal travel required
Annual base salary for Colorado, Hawaii and Washington State residents: $77,000 - $85,000 depending on experience