Y-Axis Jobs Logo
Send us feedback
telephone  +91 7670 800 001
Log in Sign up Try Premium
Claims Team Lead - DC at Verida Inc
Washington, District of Columbia, United States -
Full Time

Start Date

Immediate

Expiry Date

08 Oct, 26

Salary

0.0

Posted On

10 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Reconciliation, Customer Service, Data Entry, Communication Skills, Route Logic, Medicaid Non-Emergency Transports, Multitasking, Computer Proficiency

Industry

Transportation Programs

Description
SUMMARY: The Claims Team Lead is responsible for the reconciliation of the provider’s reimbursement request forms. In addition, he/she will be responsible for maintaining all departmental filing and other duties that may be assigned. LOCATION: On-Site in the District of Columbia ESSENTIAL FUNCTIONS * Correlate the reimbursement request forms and resubmissions by provider per day in chronological order. * Approvals and denial for reimbursement and resubmissions. * Data entry. * Responsible for generating and distributing copies of denied reimbursement requests to providers. * Filing all reimbursement forms. * Assisting with special rates from the call center. * Relays instructions, messages and other information as requested from the management team. * Maintains a current working knowledge of all company policies, procedures, rules, regulations and memorandums. * Responsible and accountable for updating management on changes and/or extraordinary circumstances affecting the company and/or transportation provider. * Other duties as assigned by management team. REQUIRED SKILLS AND ABILITIES * Excellent communications skills oral and written. * Able to work in a busy environment. * Able to function effectively in stressful situations. * Knowledge of reconciliation and customer service policies and procedures. * Knowledge of Medicaid Non-Emergency Transports preferred. * Able to handle multiple tasks simultaneously. * Computer experience. * Following training, able to adequately implement concepts of Route Logic. * Able to lift and/or move items up to 25 pounds. * Must be able to key 8000+ keystrokes. QUALIFICATION * High School diploma.
Responsibilities
The Claims Team Lead manages the reconciliation of provider reimbursement request forms and maintains departmental filing. They are responsible for approving or denying requests and communicating these decisions to providers.