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.

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

Administrative Staff

Key skills