Maximus

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. - 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 Working Conditions: - Casual office environment, with some exposure to mild noise from office equipment and moderate noise generated by staff members; and - Frequently utilizes phone, fax machine, computer, printer, and copy machines.

- High School Diploma required. - Previous Billing experience preferred.

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’re 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.

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.