THIRD PARTY LIABILITY INSURANCE PROGRAM SUPPORT SERVICES (SENIOR) at VECRA Inc

Washington, District of Columbia, United States -

Full Time

Start Date

Immediate

Expiry Date

03 May, 26

Salary

80000.0

Posted On

02 Feb, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Third Party Liability Insurance, Medical Accounts Receivable, Quality Assurance, Data Entry, Critical Thinking, Effective Communication, Program Evaluation, Medical Information, Interviewing Beneficiaries, Facilitating Requests, Preparing Liens, Generating Reports, Onboarding Support, Supervisory Experience, Problem Solving

Industry

Business Consulting and Services

Description

VECRA is seeking a Full-Time THIRD PARTY LIABILITY INSURANCE PROGRAM SUPPORT SERVICES (SENIOR) VECRA, Inc. has a requirement for a THIRD PARTY LIABILITY INSURANCE PROGRAM SUPPORT SERVICES (SENIOR) with Third Party Liability Insurance recovery experience. The VECRA THIRD PARTY LIABILITY INSURANCE PROGRAM SUPPORT SERVICES (SENIOR) will join our VECRA VIPs to carry out the day-to-day tasks in support of our and Federal government, Public and Commercial clients and be responsible for providing guidance and supervision to lower-level clerks. COMPANY DESCRIPTION VECRA, Inc. is a service-disabled veteran-owned small business (SDVOSB), woman-owned small business (WOSB), minority business enterprise (MBE) consulting firm implementing proven methodologies that help our clients drive growth, transform businesses, and innovate breakthrough ideas. VECRA’s extensive experience with innovative program management and staffing support services are always: Vigilant * Efficient * Collaborative * Responsive * Accurate JOB SUMMARY The Third Party Liability program is responsible for recovering the cost to the United States of medical care provided to persons entitled to care when their injuries/illness result from the negligent acts of third parties. Sources of recovery include liability, medical payments, Personal Injury Protection, and no-fault coverage in automobile and homeowner’s insurance, as well as worker’s compensation benefits. Recovery is sought from both insurance companies and from negligent parties directly. ROLES and RESPONSIBILITIES The Program Support Services Senior will work on a team to collect the information necessary for successful analysis of all potential claims, for assertion of claims where recovery is feasible, and billing these claims. This position is responsible for performing the duties related to the Tort program under the Federal Medical Care Recovery Act to enable clients to meet its legal obligations regarding the collection of medical reimbursements and compensation for lost wages resulting from third-party liability claims. The Program Support Services Senior shall draft correspondence, file records, make copies of related correspondence, answer related phone calls and transfer calls to appropriate personnel, perform data entry by way of MS Access and utilize the task feature in MS Outlook. Additionally, the Program Support Services Senior will attend regular meetings with the Program Manager to address any issues, delegate workload, and engage in discussions regarding ideas for enhancing processes. QUALIFICATIONS, REQUIRED SKILLS and EXPERIENCE: Must have at least eight(8) years experience working in a general office setting. Experience with conducting quality assurance reviews of the work performed by lower-level clerks. Experience with generating, validating, and disseminating reports for internal team utilization. Must know how to provide onboarding support to new team members. Must have experience utilizing critical thinking to identify obstacles, examine problems, identifying important factors, collecting relevant data, and suggesting appropriate solutions to the PM for mitigation. Must have effective written and verbal communication skills with tact and diplomacy. Experience with program evaluation and measurement techniques for compliance is required. Medical Accounts Receivable program experience is required Must have experience with analyzing admission, disposition and injury reports generated by the Composite Health Care Systems (CHCSII)/Integrated Health Information System (IHiS), Tricare contractors, DoD or Military Treatment Facilities. Must have experience compiling data from medical acute care clinics, emergency rooms, and other clinics because of a motor vehicle accident or personal injury top open case files. Medical information of Emergency Treatment Records (ETRs) experience is required Must have experiences with interviewing beneficiaries and initiate correspondence to obtain necessary insurance information regarding the injury and provide guidance to complete forms Must have experience with facilitating requests for information, medical invoices, and liens for TPL claims from civilian attorneys, military legal offices, and government agencies. Must have experience preparing FMCRA liens to include billing forms and UB92 insurance forms Must have experience to generate medical liens and route for review, approval, and decision Have ability to review correspondence to determine priority and process and route for action EDUCATION Must hold an associate degree from a college or university accredited by a regional or national accrediting body. Additionally, they must have a minimum of eight years of experience working in a general office setting, including experience in a supervisory role. Relevant experience may substitute a college degree. OTHER Schedule: Monday – Friday Work Hours: 0630AM - 06:00PM EST, Monday through Friday (except Federal holidays). Remote, Telework or Virtual: No, this position is 100% onsite in Washington, DC. Onsite Location: USA\U.S. Coast Guard Headquarters, 2703 Martin Luther King Jr Ave SE, Washington DC 20593-7618 Req Type: Full-Time Salary: $70k - $80k Security Clearance: Suitability / Public Trust Background requirements Fingerprinting may be required BENEFITS We offer a 401k program, as well as paid holidays, paid time off, vision and dental.

Responsibilities

The Program Support Services Senior will collect information necessary for analyzing potential claims and billing them. They will also draft correspondence, manage records, and attend meetings to discuss workload and process enhancements.