Medical Evidence Specialist IIID:44741

60,000 PHP ~ 120,000 PHPWork From Home (Full Time)Over 3 months ago

Overview

  • Salary

    60,000 PHP ~ 120,000 PHP

  • Industry

    BPO / IT BPO / Call Center

  • Job Description

    The Medical Evidence Specialist team member will review medical symptoms and service-connected disabilities reported by the Veteran, develop a strategy plan, and communicate this plan with the Veteran client. The team member will evaluate the symptoms experienced by the Veteran and develop an accurate statement reflecting their level of disability as defined by the 38CFR Schedule of Ratings. They must identify which claims a Veteran medically qualifies for and assess the value or expected rating of each claim during the conversation. They will work closely with designated team members to answer questions about the case and provide clear direction for evidence development. Peer reviewing cases may be needed in addition to normal caseload.

    Essential Duties and Responsibilities
    The essential functions include, but are not limited to the following:
    • Reviewing medical records to formulate a strategy as needed
    • Reviewing lay evidence to determine if documentation supports the strategy
    • Reviewing Intake Screener tool to determine strategy
    • Identifying viable VA claims
    • Assessing potential value of claim strategy
    • Entering Claim Strategy in Zoho CRM
    • Responding to emails from Veterans and staff
    • Exercising discretion and independent judgement with respect to matters of significance
    • Complying with and upholding HIPPA guidelines
    • Performing other duties as assigned
    • Serves as a resource for strategy related questions

Qualifications

  • Requirement

    Required Skills and Competencies:
    • Advanced knowledge of medical terminology
    • Proficient in Conversational English
    • Thorough knowledge of grammar, document creation, and APA format techniques
    • Excellent written and verbal communication skills
    • Excellent interpersonal skills, analytical and critical thinking skills
    • Proficient with Microsoft office applications, including Word, Excel and PowerPoint
    • Able to navigate complex tasks with objectives and resolutions
    • Ability to operate basic office equipment such as computer, printer, copy machine and scanner
    • Ability to be detail-oriented, diligent and flexible
    • Ability to multitask and focus on task completion with little direction or need supervisory follow up
    • Actively embraces and makes use of collaborative problem solving, diverse viewpoints, and unique skillsets.
    • The ability to work during US working hours
    Required Licenses, Certifications, or other Requirements:
    • Associate degree in Nursing or equivalent combination of education and experience
    • Current RN License Required
    Required Education & Experience:
    • Minimum of a Current USRN License is Required.
    • Associate degree in Nursing or equivalent combination of education and experience
    • Minimum 2 years’ experience in office environment
    • Minimum 1 year phone-based customer service required

  • English Level

    Business

  • Other Language

    English

Additional Information

  • Benefit

    to be discuss

  • Working Hour

    20:00 ~ 5:00

  • Holiday

    weekends

  • Job Function