Lead Medical Claims Processor (Veterans Affairs)

Description 

We are recruiting multiple Medical Claims Processor Leads to manage a program for a premier health care solutions provider out of Austin, Texas to support the U.S. Department of Veteran’s Affairs! (ICD-10-CM, Medical Claims)

Requirements

Key Responsibilities:

• Supervision and training of multiple Medical Claims Processors
• Assisting in a variety of administrative matters
• Maintaining a wide variety of medical or other records
• Verifying medical claims and vouchers for accuracy and completeness
• Handling and adjusting on-line and phone inquiries and/or complaints
• The Lead may also direct lower level clerks.

Requirements:

• High school diploma or Associate’s Degree
• 3+ three years of experience processing medical claims and vouchers.
• Through understanding of Current Procedural Terminology (CPT)
• In-depth knowledge of Healthcare Common Procedure Coding System (HCPCS)
• International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and Tenth Revision Clinical Modification (ICD-10-CM) experience
• Microsoft Office Access and Excel.
• Strong customer service skills.
• Comprehensive understanding of billing and follow up regulations as it relates to Medicare.
• Understanding of electronic claims editing and submission capabilities including Medicare and NEIC on-line claims processing and query system.

Benefits 

SDV INTERNATIONAL provides a competitive benefits package to include, Medical, Dental, Vision, 401k, Flexible Spending Account, and Paid Time Off, including vacation and holiday pay.

SDV INTERNATIONAL is an Equal Employment Opportunity employer and it is our policy to consider all applicants for employment without regard to sex, race, color, creed, religion, national origin, sexual orientation, marital status, age, disability, veteran status, alienage, ancestry, citizenship status, or any other factors prohibited by law.