Email Opening
Title

Veterans Affairs Claims Specialist 

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Description

MedData has an excellent career opportunity available as a Veterans Affairs Claims Specialist to work remotely. The schedule for this full time role is Monday- Friday 7:30am -4pm CST.

 

SUMMARY

The purpose of this position is to review, submit and follow up on claims or medical bills for the VA Department. It is the primary responsibility of the Claims Specialist to ensure that claims are submitted timely, that they are processed accurately and, if required, denied services are appealed appropriately.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Review and research insurance claims to determine possible payment source(s).
  • Contact various sources including insurance professionals, patients, and other parties to verify relevant data.
  • Coordinate with payors to ensure appropriate filing guidelines are met for reimbursement. 
  • Request appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition. 
  • Maintain and update payors on denied claims.
  • Ensure that appropriate billing guidelines and standards are met based on payor and/or State.
  • Perform persistent follow up on unresolved claims and facilitate payment from appropriate payors.
  • Responsible for obtaining claim status and gathering supporting documentation to submit appeals.
  • Assist with written or verbal appeals to payors on denied claims. 
  • Assist in defending the hospital’s or medical provider’s rights to recovery against insurance companies.
  • Interact with hospital staff members to obtain appropriate documentation for claims and appeals submission.
  • Other duties as assigned.

 

QUALIFICATIONS AND REQUIREMENTS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.

  • High School Diploma or GED, some college coursework preferred
  • 1-2 years of related experience in the healthcare field or in a related area is preferred
  • Ability to communicate effectively both verbally and in writing and be able to speak professionally with patients and insurance companies
  • Ability to proactively resolve issues
  • Creative problem solving skills
  • Ability to organize and set priorities according to situation all demands
  • Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications

BENEFITS:

MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.

 

Just some of the benefits we offer:

  • Medical, Dental & Vision Insurance
  • HSA, FSA
  • 401K
  • Paid Time Off: Up to 3 weeks first year PTO plus 7 paid Holidays 
  • Employee referral bonus program
  • TeamworkWe believe in teamwork and having fun together 
  • Career Growth: Gain great experience to promote to higher roles 

PHYSICAL DEMANDS

 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

While performing the duties of this job, the employee is frequently required to sit; use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to stand and walk and must occasionally lift and/or move up to 25 pounds.

 

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

 

 

This job description is to serve as a guide but no way is it to be considered a comprehensive list of task, duties and responsibilities that will be required by the employee.

 

 

To join our team of 2,000 employees and growing, please apply directly to this posting.


MedData is an Equal Opportunity Employer

 
Full-Time/Part-Time Full-Time  
Shift -not applicable-  
Req Number HEA-21-00458  

This position is currently not accepting applications.

To search for an open position, please go to http://DECO.appone.com


 


AppOne.comTM   copyrightŠ1999-2021 HR Services, Inc.
Click here for technical assistance.