Job Description

• Prepares case files and Disability Benefits Questionnaires (DBQ) assigned in the client portal.
• Requests, downloads, and saves medical records in SharePoint.
• Monitors provider portals for fresh cases and lists these cases in the VES sheet and sets up for billing in the case tracker sheet.
• Monitors for addendum; prepares addendum sheet and tags the Nurse VA assigned to the case.
• Case management - monitoring of timely submission of cases; monitoring for TAT (turnaround time achievement)
• Prepares sign-in sheet and appointment forms, and submits sign-in sheet to VES after appointments.
• Coordinates with the medical providers and other team members regarding the scheduled appointments per day.
• Submission of provider available dates for scheduling of cases.
• Keep track of billing and receivables; must perform billing and recon from time to time.
• Document keeping (in SharePoint).
• Must have good communication skills to assist the veterans, medical providers, and colleagues as well.
• Must be able to work independently, with minimal supervision.
• Must be flexible in work changes, as needed.
• Must be accountable for all assigned cases.
• Maintain productivity standards with speed and accuracy.
• Follows company policies and procedures.
• Respects and maintains HIPAA confidentiality guidelines.
• Assist in the creation of process-related templates, if needed.
• Perform other job-related duties as assigned by the immediate supervisor or manager.• Takes care of incoming phone calls and initiates outside calls when needed.
Qualifications:

• ⁠ Administrative staff with excellent writing and organization skills
• ⁠ Attention to details
• ⁠ Familiar with MS Office, Google Sheets
• ⁠ Willing to be trained for Utilization review, case management, and/or medical file review
• With Broad-based nursing knowledge and experience, critical thinking skills, and familiarity with evidence-based practice criteria and guidelines

Computer specs Requirement (work from home set up):

• Fiber connection and has at least 20mbps download and upload speed
• Has available backup internet minimum of 15mbps download and upload speed
• Main desktop/laptop must be i5 to i7 w/ 8GB RAM
• Backup desktop/laptop must be i3 to i5 w/ 4GB RAM