International Services Billing Specialist - Veterans Evaluation Services

Description & Requirements

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

This is a remote opportunity.

The International Billing Specialist is responsible for variety of duties, as assigned by Manager, which include routine billing payment posting, and problem- solving for various types of facilities for the international department.

Other duties will include preparing payment overviews for providers and facilities to ensure proper reimbursement are remitted promptly.

Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.

Essential Duties and Responsibilities: - Process invoices for payment from diagnostic facilities according to Medicare rates.

- Analyze accounts and use proper CPT codes and correct rates; - Send out the denial letters to facilities for procedures, codes, and dates of service not ordered, or to request more information if needed; - Ensure all doctors and claims status calls are answered in a professional manner.

- Process transportation expense claims for Veterans; - Answer faxes and emails received from both hospitals and read facilities; and - Frequently communicate with facilities and other departments within the company to request any information if needed to ensure the highest quality of QA and billing.

- Process Independent Medical Opinion payments; - Process VBA mileage/expense reimbursements checks for providers and facilities; - Process, investigate, and settle claims by Veterans that have been billed directly; - Attend meetings as required; - Process checks by stamping signature on checks, and verifying printed checks batch the EOB; 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, with strong ability to meet strict deadlines with minimal supervision; - 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.

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 M...