Billing Specialists supporting the Veterans Evaluation Services (VES) administered by Maximus, make an impact everyday by assisting with routine billing payment posting and problem solving for various types of facilities. Primary responsibilities include processing invoices for payment, analyzing accounts and proper coding for claims and procedures. CANDIDATES MUST POSSESS THE DESIRE TO ASSIST OUR WOUNDED VETERANS WITH A CARING, POSITIVE, AND PATRIOTIC ATTITUDE. To prepare you for this role, the VES provides paid, comprehensive training which ensures all new employees provide the highest levels of knowledge and professionalism.

As a federal contractor, Maximus is subject to Executive Order 14042 and the Safe Workforce Task Force's COVID-19 Workplace Safety Guidance for Federal Contractors and Subcontractors. In light of these requirements, all employees will eventually need to be fully vaccinated as a condition of employment and new hires/employees will be required to provide proof of vaccination.

This position is temporarily remote due to Covid-19, however, YOU MUST BE ABLE AND WILLING TO WORK ON SITE IN OUR HOUSTON, TX location when needs arise.

JOB DESCRIPTION SUMMARY

• 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 facilities
• 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

EDUCATION AND EXPERIENCE REQUIREMENTS

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 match the EOB

REQUIREMENTS

• High School Diploma required; previous billing experience preferred
• 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
• Proficient with Microsoft Word, Microsoft Outlook, Adobe Acrobat, general internet research, and beginner knowledge of Microsoft Excel

HOME OFFICE REQUIREMENTS

• Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
• Hardwired internet (ethernet) connection
• Private work area and adequate power source

About Veterans Evaluation Services - Now Part of Maximus

MAXIMUS INTRODUCTION

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People®, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. With approximately 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. Launch your career with Maximus through one of our dynamic customer service centers.

EEO STATEMENT

Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We are proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs.