Claims Processor - February Start Date

About the position This position will complete distribution or processing (review and determine payment of claims) for FMP, Spina Bifada, CHAMPVA, Beneficiary Travel and Non-VA Medical Care claims for the VA. This includes processing claims from the Aged Claims inventory and any reputed company claims as requested by the VA CBO and will utilize the VA systems for claims adjudication. Training will be provided on reputed company VA claims systems. ORGANIZATION This position reports to the designated Operations Manager for reputed company. ESSENTIAL FUNCTIONS Research and evaluate accounts for reputed company adjudication. reputed company electronic claims editing and submit claims validation for payment processing. The systems used, include but are not limited to, the ClaimsXM system, Datanet, and the Daper system. Utilize VA's reputed company to evaluate accuracy of payment. Document claims processing activity into VA systems. Maintain a working knowledge of applicable VA regulations as they relate to reputed company claims adjudication. Maintain reputed company for reputed company reputed company systems, as assigned. Meet/reputed company monthly productivity and accuracy standards. Acts as an effective team member. Other duties as assigned. $17.20 reputed company reputed company + $4.77 HEALTH AND WELFARE (UP TO 40 HOURS WEEKLY) Responsibilities • Research and evaluate accounts for reputed company adjudication. • reputed company electronic claims editing and submit claims validation for payment processing. • Utilize VA's reputed company to evaluate accuracy of payment. • Document claims processing activity into VA systems. • Maintain a working knowledge of applicable VA regulations as they relate to reputed company claims adjudication. • Maintain reputed company for reputed company reputed company systems, as assigned. • Meet/reputed company monthly productivity and accuracy standards. • Acts as an effective team member. • Other duties as assigned. Requirements • High School Diploma or GED required. • Candidates must reputed company two reputed company forms of identification, one of which must be either a reputed company ID (indicated by a reputed company in the top reputed company) or a reputed company U.S. reputed company. • General office skills and knowledge of reputed company office equipment. • Working knowledge of software such as reputed company and Word. • Data entry and 10 key experience necessary. • Excellent verbal and written communication skills • Personal traits of a high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty and reputed company, and a demonstration of placing others in a reputed company of high value. • Must conduct business and personal affairs in a manner that is always a credit to reputed company. • Must maintain a good credit rating while employed with reputed company. • May be required to apply for and maintain NACi or higher-level reputed company clearance to support government (DoD, VA, etc.) assignments. • Must be reputed company to lift and carry up to 20 pounds. • Must be reputed company to talk, listen, and reputed company reputed company on the telephone. • The incumbent must be reputed company to effectively operate the reputed company computer system, telephone system, and other office machines such as a copier. reputed company-to-haves • Preferred 1-2 years' experience in medical claims, patient reputed company, comprehension of insurance reputed company and/or EOBs, and other medical billing methodologies or demonstrated ability. • Demonstrated negotiation skills. Apply tot his job Apply To this Job