Veterans Billed Specialist - Veterans Evaluation Services

Description & Requirements

Maximus is currently hiring for a Veterans Billed Specialist to join our Veterans Evaluation Services (VES) team.

This is a remote opportunity.

The Veterans Billed Specialist is responsible for resolving billing issues related to Compensation and Pension ("C&P") examinations ordered by the VA, including, but not limited to, investigating situations wherein a Veteran is inappropriately billed for a C&P examination.

Essential Duties and Responsibilities: - Updating facility billing information; - Requesting claims and processing payment; - Ensuring VES payments have been posted; - Confirming zero balances on patients' accounts; and - Mailing zero balance letters to veterans and/or requesting a zero balance letter be mailed to the veteran from the facility.

Additional Duties and Responsibilities: - Evaluate, analyze and process payments to facilities for both VHA and VBA cases according to Medicare rates; - Answer internal and external calls pertaining to claim status and billed veteran issues; - Maintain communication with facilities in regards to obtaining outstanding or current claims; - Assist with any other areas within the billing department that the supervisor may require, such as return checks, EOP submissions, etc.; and - Other duties as assigned.

Knowledge/Skills/Abilities: - Self- starter; - Familiarity with CPT codes for claim charges; - Advanced verbal and interpersonal skills; - Advanced written communication skills, to include excellent grammar; - Advanced reading and comprehension abilities; - Advanced analytical skills and detail- oriented; - Advanced multi- tasking skills; - Advanced organizational and prioritization skills; - Proficient typing skills; and - Proficient with Microsoft Word, Microsoft Outlook, Adobe Acrobat, general internet research, and beginner knowledge of Microsoft Excel.

Working Conditions: - Casual office environment, with some exposure to mild noise from office equipment and moderate noise generated by staff members; and - Frequently utilizes phone, fax machine, computer, printer, and copy machines.

- Ability to work a shift between the hours of 7:00am-5:30pm Monday-Friday CT required

Please note: With this position you have the option to have Maximus provide you with equipment to use, or you may use your own equipment.

Home Office Requirements Using Your Own Equipment

- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
- Preferred Windows or Mac (no Chromebooks)

- OS for Windows - Windows 10 or newer

- OS for Mac - Big Sur (11.01.1+); Catalina (10.15), MacOS (up to 12.5) or newer

- Connectivity to the Internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router

- USB plug and play wired headset with a microphone and noise suppression

- Private work area and adequate power source

- A second monitor is highly recommended for most positions

- Must currently and permanently reside in the Continental US
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