Description & Requirements
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Essential Duties and Responsibilities:
- Review MDE (Medical Disability Examination) requests for consistency with the DBQ.
- Review MDE reports and DBQs (Disability Benefits Questionnaires) for completeness and typographical and grammatical correctness.
- Communicate with medical providers and facilitate any necessary corrections to MDE reports and DBQs prior to submission to the VA.
- Verify that any special requests or necessary second reviews have been completed, consistent with the VA’s preferences.
- Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report.
- Perform daily queue maintenance to ensure that every case assigned has updated notes and any needed action has been taken.
- Communicate with the Medical Advisory Board on cases that need additional review, may be outside the scope of the assigned medical provider’s training or expertise, or has presented a problem/issue with the assigned medical provider.
- Consistently achieve weekly/monthly qualitative and quantitative goals set by management and VA.
- Must be willing and able to work the training schedule of 8:00 AM - 5:00 PM CT, Monday-Friday for 3-4 months with no absences required (this includes pre-planned vacations/trips/appointments etc.)
- Associate degree required; Bachelor’s degree preferred.
- Two (2) years of Quality experience may substitute for educational requirement.
- Experience in Healthcare, Quality preferred.
- Intermediate knowledge of medical terminology.
- Excellent written and oral communication skills.
- Excellent analytical skills and attention to detail.
- Excellent multi-tasking skills.
- Excellent organizational and prioritization skills.
- Proficient in the use of Microsoft Office Products.