Medical Claims Biller, Coder and Follow-Up Professional

Career Opportunity

Are you experienced with medical claims and have a patriotic spirit? If so,
Veteran Claims Paid, LLC (VCP) has an exciting opportunity in Central OH to work in a positive, professional environment with excellent base pay plus performance- based incentives, enabling you to truly be paid what you’re worth!

At VCP, we specialize in helping private healthcare providers receive reimbursement for the care they provide to American Veterans. And, as a Veteran owned company, our Mission also includes dedicating a portion of all proceeds to help Veterans in need. As our client base has continued to grow, we need quality people to join our team.

Job Title: Veteran Claims Billing & Recovery Specialist
Department: Patient Financial Services
Reports to: Executive V.P. of Operations

Compensation: Average annual earnings in this position: $75,000 (Base pay and bonuses)

Benefits: Health, Dental, and Vision Insurance

Company paid Disability Insurance

Company paid Life Insurance

Paid time off

401(k) with up to 4% match

Tuition reimbursement

Schedule: Full-time hourly position with flexible schedule

Job Summary:

The Veteran Claims Billing & Recovery Specialist is responsible for the facilitation of accurate and timely claims processing in accordance with laws, regulations, and administrative rulings of governmental organizations, other regulatory agencies, and contractual obligations. Job functions include, but are not limited to, medical billing, re-billing, corrected claims, follow-up and appeals.

Education and Work Experience:

• High School Diploma (Medical Billing and/or Coding certificate preferred)
• Minimum of two (2) years’ experience in medical billing and/or insurance collections
• Working knowledge of Microsoft Word and Excel (Advanced Excel knowledge)
• Hospital Information Systems (i.e. Meditech, EPIC, Cerner)
• Electronic Claims Management Systems (i.e. SSI; Quadax)

Primary Job responsibilities:

• Accurately bill and follow-up on medical claims
• Average of 60 claims processed per day
• Act as a liaison between VCP clients and the Veterans Administration, facilitating the collections of claim charges
• Participate in staff meetings
• Daily reports to Supervisor (written and oral)
• Identifies areas for improvement and suggest options for problem resolution
• Demonstrate account review techniques that support and validate claim action(s) taken
• Distinguish UB and 1500 validation issues that should be reported to management
• Contact third party payers to facilitate timely account resolution
• Document all contacts and information obtained
• Ensure compliance with Client and Veteran Claims Paid, LLC policies and procedures regarding PHI, HIPPA
• Maintain consistent audit trail including notating patient accounts accurately, timely, and professionally

Additional Responsibilities:

• Use data to evaluate accounts receivable and create and/or revise work plans
• Participate in process improvement
• Participate in team and individual goal setting and achievement
• Use available resources for system troubleshooting
• Perform tasks that are supportive in nature to the essential functions of the job
• Demonstrate initiative in personal/professional development
• Present a professional image
• Assist with control of costs through the judicious use of human and material resources
• Other duties as assigned

Americans with Disability Specifications:
The demands 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 individuals with disabilities to perform the essential functions.

Physical demands:

• Sitting for prolonged periods of time with occasional walking and standing.
• Occasional lifting and carrying items weighing a maximum of 25 pounds.\

Visual, Hearing and dexterity demands:

• Requires concentrated visual attention that must be maintained for sustained periods. Good vision and hearing required.

Language Skills:

• Ability to respond professionally to common inquiries. Ability to read, analyze and interpret business and governmental documents

Written Skills:

• Ability to write business correspondence and accurately document patient accounts with emphasis on grammatical astuteness

Work environment:

• While performing the duties of this job, the employee will work in a secure, clean, well-lighted, heated, and ventilated office. The noise level should be kept to a minimum.

Ethics and Compliance:

• Employee performs within the prescribed limits of Veteran Claims Paid, LLC and their Clients to remain compliant with all programs (Governmental or otherwise). The employee is always responsible to be compliant and to report any compliance variances immediately to their immediate supervisor.

Work Location:

• VCP has offices in Central and East-Central Ohio

Work Remotely:

• No

Job Type: Full-time

Pay: $23.00 - $29.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work Location: In person

Salary : $75,000