Veterans Administration Specialist

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Generate and maintain patient records

• Confirm benefits eligibility

• Acquire medical orders, clinical notes, testing, and other essential documentation

• Identify eligible diagnoses in accordance with payer criteria

• Reach out to the National Notification line or local VA Medical Centers to verify authorizations

• Communicate purchase order requirements to the sales field

• Secure initial and recurring purchase orders from VA Medical Centers

• Manage, resolve, and confirm intake orders

• Process credit card transactions for purchase orders issued by VA Medical Centers

• Execute changes of benefits among third-party payers, VAMC payers, and other health insurance when applicable

• Conduct timely follow-ups on assigned tasks

• Review and finalize assigned fax documents for prompt credit card processing

• Achieve at least a Meets Expectations score on the monthly scorecard

• Liaise with customers, VA Medical Centers, and sales representatives to share insurance information and gather additional documentation for reimbursement and coordination of benefits

• Collaborate closely with Coordination of Patient Administration and Territory Managers

• Develop and sustain relationships with VA Medical Centers, sales representatives, and internal departments

⛳️ Requirements

• High School Diploma or equivalent is mandatory

• Minimum of 3 years’ experience in insurance verification and comprehensive order processing, including account billing is essential

• Over 1 year of experience with the Veterans Administration is preferred

• An Associate's Degree in nursing, business, or a related field is preferred

• A Bachelor's Degree in nursing, business, or a related field is preferred

• Excellent verbal and written communication skills

• Strong customer service abilities and meticulous attention to detail

• Proficiency in using multiple software systems simultaneously

• Capability to manage various tasks concurrently under strict deadlines

• Exceptional organizational and time management abilities

• Aptitude to clearly and thoroughly communicate policy information

• Proficiency in MS Office Suite

• Ability to work autonomously with limited supervision and make independent judgments

• Capacity to sit for extended periods and occasionally stand, walk, reach, and lift/move up to 25 pounds

• Willingness to work Monday–Friday, from 10:30 AM to 7:00 PM EST

🏝️ Benefits

• Comprehensive benefits packages

• Reasonable accommodations in accordance with the Americans with Disabilities Act of 1990