Billing Support Specialist - Veterans Evaluation Services

General information

Job Posting Title Billing Support Specialist - Veterans Evaluation Services Date Tuesday, June 18, 2024 City Houston State TX Country United States Working time Full-time

Description & Requirements

Maximus is currently hiring for Billing Support Specialists to join our Veterans Evaluation Services (VES) team. This is a hybrid position that requires you to work both onsite in our Houston, TX office as well as remotely .

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

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.
• Additional Duties and Responsibilities : - 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 - Ability to lift up to 20 lbs.

required- Ability to stand for undetermined amount of time as necessary required- Must live in or near Houston, TX- Ability to work both remotely and onsite in our Houston, TX office required - Ability to commit to a 1-month training period, fully onsite in the Houston office, with a schedule of 8 : 00am-4 : 30pm CT Monday-Friday with no absences 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 )
• Preferred Windows or Mac (no Chromebooks)
• OS for Windows Windows 10 or newer
• OS for Mac Big Sur (11.0.1+); 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

Home Office Requirements Using Maximus-Provided Equipment :

• Internet speed of 20mbps or higher required (you can test this by going to )
• Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
• Private work area and adequate power source
• Must currently and permanently reside in the Continental US

Minimum Requirements High School Diploma required; Previous Billing experience preferred.