Med Pay Claims Specialist (Hybrid)

Vafb; Richmond (VA); Hybrid; USD 49,000 - 52,000; Full time

Benefits offered by this job

Paid training

401K

Paid Time Off

Medical and dental insurance on day of

Job summary

VA Farm Bureau is seeking a Med Pay Claims Processor to handle and investigate medical expense and med pay claims from our Richmond office. The role offers a hybrid schedule after a 6-month in-office training period, with support from a Claims Medical Manager.

You will evaluate reserves, negotiate losses, and coordinate Medicare reporting, while building relationships with doctors and professionals. A strong analytical skill set and excellent communication are essential.

Qualifications

• High School diploma or equivalent.
• Experience in investigation, evaluation, and reserving techniques.

Responsibilities

• Promptly and equitably handle and investigate medical expense and med pay claims.
• Evaluate, reserve, adjust and negotiate medical expense losses and claims.
• Update Medicare reporting information and respond to Medicare correspondence.
• Serve as a technical resource for other claim department personnel.
• Develop relationships with doctors, medical professionals, audit vendors, lawyers and court personnel.
• Assist the CCHU with phone call handling, loss reports, and inquiries.

Skills

Analytical skills

Communication skills

Time management

Organization

Attention to detail

Multitasking

Rapport building

Initiative

Dependable

Education

High School diploma

Tools

Online systems

Stand-alone computer systems

Job description

VA Farm Bureau is seeking a Med Pay Claims Processor to handle and investigate medical expense and med pay claims from our Richmond office. The role offers a hybrid schedule after a 6-month in-office training period, with support from a Claims Medical Manager.

You will evaluate reserves, negotiate losses, and coordinate Medicare reporting, while building relationships with doctors and professionals. A strong analytical skill set and excellent communication are essential.