Job Summary

Customer Care Specialist answers inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems. This position establishes and maintains rapport with contacts and present a favorable corporate image while responding to inquiries within time frames required to exceed contractual standards.

Characteristics and Responsibilities

The CSR's will be exclusively handling provider calls
These calls will revolve around the status of claims, submitting claims
Obtain and analyze claims data to determine specific problem area including external communication to obtain data.
Complete research and provide final resolution to inquiries within contractual requirements.
Communicate with inquirer to determine appropriate authorization or referral of services.
Submit claims for adjudication, correction, payment, or review as appropriate.
Educate providers on billing requirements of TRICARE to reduce claim problems.
Deal tactfully with people in a wide variety of situations to convey a favorable corporate image.
Respond to inquirer using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards.
Collect and record data for Customer Service records and computer analysis.
Inform supervisory staff of system problems when identified, researching problems to provide backup data and examples when needed.

They will be handling both call and written correspondences from Tricare Providers

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.