Billing Specialist - Veterans Evaluation Services (Hybrid - Houston, TX)

Job Introduction

Maximus is currently hiring for Billing Specialists to join our Veterans Evaluation Services (VES) team. This is a hybrid position that requires you to work both onsite in our Houston, TX offices as well as remotely. The Billing Specialist position is responsible for a variety of duties, as assigned by Manager, which include routine billing payment posting, and problem-solving for various types of facilities.

Job Summary

Essential Duties and Responsibilities: - Process invoices for payment from diagnostic facilities according to Medicare rates. - Analyze accounts and use proper CPT codes and correct rates; - Send out the denial letters to facilities for procedures, codes, and dates of service not ordered, or to request more information if needed; - Ensure all doctors and claims status calls are answered in a professional manner. - Process transportation expense claims for Veterans; - Answer faxes and emails received from both hospitals and read facilities; and - Frequently communicate with facilities and other departments within the company to request any information if needed to ensure the highest quality of QA and billing. Additional Duties and Responsibilities: - Process Independent Medical Opinion payments; - Process VBA mileage/expense reimbursements checks for providers and facilities; - Process, investigate, and settle claims by Veterans that have been billed directly; - Attend meetings as required; - Process checks by stamping signature on checks, and verifying printed checks batch the EOB; and - Other duties as assigned. Knowledge/Skills/Abilities: - Self- starter; - Familiarity with CPT codes for claim charges; - Advanced verbal and interpersonal skills; - Advanced written communication skills, to include excellent grammar; - Advanced reading and comprehension abilities; - Advanced analytical skills and detail- oriented; - Advanced multi- tasking skills; - Advanced organizational and prioritization skills, with strong ability to meet strict deadlines with minimal supervision; - Proficient typing skills; and - Proficient with Microsoft Word, Microsoft Outlook, Adobe Acrobat, general internet research, and beginner knowledge of Microsoft Excel Minimum Qualifications: High School Diploma required; Previous Billing experience preferred.

Education and Experience Requirements

Additional Requirements:

• Must live in or near Houston, TX
• Ability to work both remotely and onsite in our Houston, TX office required
• Ability to commit to a 1 month training period, fully onsite in the Houston office, with a schedule of 8:00am-4:30pm CT Monday-Friday with no absences required

Home Office Requirements:

• Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
• Preferred Windows or Mac (no Chromebooks)
  • OS for Windows – Windows 10 or newer
  • OS for Mac – Big Sur (11.0.1+); Catalina (10.15); MacOS (up to 12.5) or newer
• Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
• USB plug and play wired headset with a microphone and noise suppression
• Private work area and adequate power source
• A second monitor is highly recommended for most positions
• Must currently and permanently reside in the Continental US

MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com.

EEO Statement

EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging a