Foreign Claims Processor

Role Snapshot

Process all MVH overseas claims from receipt through resolution in accordance with MVH regulations, guidelines, and quality standards, with expertise in coordination of benefits (COB), DEERS eligibility, and claims development.

Start Date:

Tuesday, August 11

Starting Base Salary: $18.50/hour (may fluctuate with experience)

Training

Schedule:

8:00am-4:35pm CST, Monday-Friday (4 weeks)

Scheduled Shift: Flexible schedule once metrics have been obtained, 8-hour shifts between 6am-10pm CST

During Probationary Period: 8:00-4:35pm CST, Monday-Friday

Remote work is available in approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.

• Process all MVH overseas claim types by determining corrective action to be taken on various types of errors pended by edit system and resolving interactive edits.
• Translate, research, and verify claims information to determine if all requirements have been met.
• Review submitted claim information and select correct procedure code and diagnosis code using ICD-9, ICD-10, CPT4, and HCPCS manuals.
• Obtain development information from external contacts and add successful development information to notepad via PC.
• Access patient/sponsor files and update information accordingly.

• High School Diploma or GED or equivalent experience.
• U.S. citizenship is required for this position due to Department of Defense restrictions.
• One or more years of experience in a claims processing role.
• Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy.
• Ability to effectively utilize available resources to further research and verify claims.
• Strong written communication skills.
• Demonstrates the ability to work independently and take initiative.

• Ability to translate a foreign language.
• Two or more years of prior health insurance experience (Claims Processor, Customer Service Representative, or Billing Representative).

• Wired (ethernet cable) internet connection from router to computer.
• High speed cable or fiber.
• Minimum 10 Mbps downstream and at least 1 Mbps upstream internet connection (check at ).
• Please review Remote Worker FAQs for additional information.

• Remote work available.
• Performance bonus and/or merit increase opportunities.
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately).
• Competitive paid time off.
• Health insurance, dental insurance, and telehealth services start DAY 1.
• Professional and Leadership Development Programs.
• Review additional benefits: