Provider Reimbursements Representative – Veterans Evaluation Services - United States - 30663 - Maximus

General information

Job Posting Title

Provider Reimbursements Representative – Veterans Evaluation Services

Date

Thursday, June 12, 2025

City

Remote

Country

United States

Working time

Full-time

Description & Requirements

Maximus is currently hiring for a Provider Reimbursements Representative to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Provider Reimbursements Representative is responsible for working closely with providers to establish good rapport and to answer their inquiries regarding DBQs, travel pay, contractual agreements, and pay rates. They will issue bonus requests, rate increases, and other fees as required as well as follow up on reports that are pending signature.

- Due to contract requirements, only a US Citizen or a Green Card holder can be considered for this opportunity.

- 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:

- Provider Reimbursements must be well versed in VES contracts and able to explain and negotiate contracts with our providers.

- Negotiates rates with our provider network; Reimbursements should be able to assess a number of factors when considering rates, including provider timeliness, report quality, history with the company, and any outlying circumstances.

- Negotiates provider bonuses as applicable and issues bonus requests; when considering bonuses, Reimbursements team should be able to assess a variety of factors, including the size and approximate difficulty of a given case, any differences in regional pricing which may factor in, and any prior payment agreements which we may have with the provider.

- Reimburses travel expenses for VES related work and conveys VES policies re: travel to providers; Provider Reimbursements should communicate with Regional Operations Managers and scheduling leadership to assess VES’ needs which necessitated travel and to discuss any other challenges related to provider travel.

- Assists Billing team with provider inquiries into past payments.

- Assists Accounting by answering provider questions on 1099s and tax issues, and with dispersal of 1099s as needed.

- Assist providers with any and all questions related to payment.

- Reliably route providers to the proper department or person when assisting with non- payment related issues.

- Ability to work a training schedule of 8am-4:30pm CT Monday - Friday required

Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.

Home Office Requirements Using Maximus-Provided Equipment:

Internet speed of 20mbps or higher required (you can test this by going to [1] www.speedtest.net)

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

- In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and you are required to remain at your designated home location for all work activities.

Minimum Requirements

- Bachelor’s degree or equivalent experience required.

- Billing or finance experience highly preferred

- Intermediate knowledge of Excel and Outlook preferred

- QA experience preferred

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

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.