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BG Consulting Services, LLC: Medical Administration Support Assistant

BG Consulting Services, LLC

This is a Full-time position in Charlottesville, VA posted September 18, 2021.

BG Consulting Services is seeking an immediate hire for a Medical Administration Support Assistant.

The qualified candidate will provide medical administration support services for a Federal customer.

The candidate will successfully be able to provide medical administration services for active duty military, Reservists on active duty, retired military personnel, and their eligible family members assigned to or within the Charlottesville, VA area.

Services include the performance of specialized work requiring knowledge of medical terminology and procedures, as well as experience with military and TRICARE medical administration processes and forms.?

The candidate will perform the following duties:?

?????Assist the eligible client in receiving authorized medical and dental care in the local area?????Verify or request authorization for coverage for medical/surgical benefits identified in the TRICARE Policy Manual, and shaft include advising and assisting with claims processing for TRICARE beneficiaries.?????Provide medical administration services to urgent and emergency healthcare administrative support claims processing assistance for active duty service members who are in temporary duty status, temporary duty/assigned duty (TDY/TAD), or in an authorized leave status in locations where military treatment facility care is not available, regardless of their actual TRICARE enrollment location or permanent residence address.?????Obtain and provide or offer current TRICARE benefits information to keep active duty service members and their family members informed on the authorized health care services available to them.?????Assist in claims processing for all TRICARE Prime-enrolled patients (active duty, retired, and family members).?????Be and remain knowledgeable of TRICARE rules and regulations, insurance rules, billing practices, hospital and laboratory procedures and of military rules and regulations regarding military readiness?????Assist with the enrollment of active duty service members and their family members into health care and dental programs as appropriate.????????Function as the local TRICARE liaison by providing TRICARE information and referring questions to the appropriate points of contact at the TRICARE Management?????????Familiar with TRICARE, DOD, Military services, DIA and NGIC health care regulations policies and procedures.??????Experienced using Microsoft programs including Word, Excel, and PowerPoint.

Be able to clearly articulate using professional oral, interpersonal and communication skills.??????Be professional in appearance and conduct, personable, courteous, and attentive to customer needs.

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