Job Description
Join the mission to serve our nation's heroes at the Detroit VA Medical Center. We're seeking a dedicated Federal Claims Specialist to process and manage veteran benefit claims with precision and compassion. This critical role ensures timely processing of healthcare claims while maintaining strict compliance with federal regulations. Enjoy comprehensive benefits, professional development opportunities, and the satisfaction of directly impacting veterans' lives.
Responsibilities
- Review and process veteran healthcare claims for accuracy and completeness
- Interpret federal regulations (38 CFR) to determine eligibility for benefits
- Collaborate with medical providers to resolve claim discrepancies
- Maintain detailed claim documentation in federal systems (VBMS)
- Respond to veteran inquiries regarding claim status and appeals
- Train staff on claims processing procedures and compliance updates
- Conduct regular audits to ensure adherence to federal standards
Qualifications
- Bachelor's degree in Healthcare Administration, Public Policy, or related field
- Minimum 3 years experience in claims processing or federal compliance
- Proficiency in VBMS, VBA, or similar federal systems
- Knowledge of 38 CFR and veterans' benefit programs
- Strong analytical and problem-solving abilities
- Ability to handle sensitive veteran information with confidentiality
- U.S. citizenship and ability to pass federal background check