Instructs employees in specific tasks and techniques and makes available written instructions, reference materials, and supplies. Incumbent also provides on-the-job training to new employees, instructing them in established policies, procedures, and practices. Maintains a current knowledge of all phases of claims processing and answers questions of other employees regarding procedures, policies, and directives. Ensures that national claims processing timeliness and quality standards are met.
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Distributes and balances workload among employees in accordance with established
workload and job specifications; Ensures timely accomplishment of the assigned
workload and that each employee has enough available work. Keeps in touch with the
status and progress of work and makes day to day adjustments in accordance with
established priorities. Incumbent advises the Community Care Supervisor of problems that
may arise, such as backlogs that cannot be disposed of promptly. Reports on the plan
and expected time required to correct the problem.
The Lead Fee Basis Claims Assistant must have extensive knowledge of matters pertaining to
the administrative aspects of patient care and Veteran medical benefits.
Must be knowledge of claims processor duties, scheduling, and consult management in order to
assess workload at any given time and assist and/or redistribute workload as required to ensure
uninterrupted payment of claims and health care delivery.
Work Schedule: Monday-Friday 7:45a.m. - 4:30p.m.
Position Description/PD#: Lead Claims Assistant~/07575-0
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required