POSITION TITLE: MMU Representative
STATUS: Non-Exempt
COMPENSATION RANGE: $49,000-$52,000 Annually
LOCATION: Based out of our beautiful West Creek Office, located at 12580 West Creek Pkwy, Richmond, VA 23238. Hybrid schedule is offered, after in office 6-month training period is completed.
REPORTS TO: Claims Medical Manager
POSITION SUMMARY:
Process and investigate Med Pay claims in an efficient manner according to company policy.
PRIMARY DUTIES
- Promptly and equitably handle and investigate medical expense and medical pay claims
- Responsible for the evaluation, reserving, adjustment and negotiation of all assigned medical expense and med pay losses and claims.
- Responsible for updating all information for Medicare reporting and responding promptly and thoroughly to all correspondence from Medicare.
- Serve as a technical resource for other claim department personnel.
- Develop and maintain professional relationship with various doctors, medical professionals, audit vendors, lawyers and court personnel.
- Pursue professional development
- Assist the CCHU with phone call handling, to include taking loss reports and answering general claims inquiry calls.
- Assist claims staff and other departments as needed
ADDITIONAL DUTIES
- Answer phones and back-up all other representatives
- All other duties as assigned by the supervisor
MINIMUM EDUCATIONAL/EXPERIENCE QUALIFICATIONS
- High School diploma or equivalent
- Previous claims work experience
- Previous experience in investigation, evaluation, and reserving techniques
MINIMUM SKILL QUALIFICATIONS
- Previous experience with online and stand-alone computer systems
- Proven customer service skills
- Dependable
- Proven analytical skills
- Excellent verbal and written communication skills
- High level of initiative/motivation
- Strong organizational skills
- Excellent attention to detail and time management
- Able to multi-task, prioritize and organize with limited supervision
- Able to build rapport quickly
PREFERRED QUALIFICATIONS
- INS Insurance courses
- AIC Insurance courses
At VA Farm Bureau, we provide an exceptional benefits package, including ongoing job development and support in all roles, paid training and continuing education reimbursement, medical and dental insurance available on your first day, generous employee 401K contribution, excellent Paid Time off (PTO) plan and more!
Virginia Farm Bureau Companies provide equal employment opportunity in all aspects of employment without regard to race, color, national origin, religion, gender, pregnancy, age, disability, orientation or veteran status.
