Veteran Benefits Guide · 15 hours ago

VA Quality Specialist

Beowawe, NV

Full-time

Remote

Entry, Mid Level

$108K/yr - $120K/yr

1+ years exp

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Responsibilities

Analyze prospective claims to determine if disorders or injuries were incurred during or aggravated by military service in the line of duty for purposes of obtaining compensation through the VA

Provide guidance regarding service-connection, permanent and total disability, entitlement to compensation, and other ancillary benefits

Ensure proper application of the Rating Schedule by internal staff to better assist Veteran clients

Communicate and interact with Veterans as appropriate to resolve any discrepancies/inconsistencies

Train staff on reviewing claims, applying the Rating Schedule, interpreting the Electronic Code of Federal Regulations (eCFR), and other relevant topics

Perform peer reviews of DBQs to ensure compliance with VA standards and to maintain ethical medical and business practices

Participate in meetings, assist with training, and collaborate to develop policies, Standard Operating Procedures (SOPs), and best practices

Additional duties as assigned by the Director of Quality, Senior Manager of Quality, and members of VBG leadership.

Qualification

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Veterans Service Representative experienceReviewing DBQsClaims-oriented medical terminologyVA Manual (M-21) knowledgeMicrosoft ExcelMicrosoft WordRisk management principlesContinuous Improvement methodologiesMilitary experience

Required

Must have recent experience as a Veterans Service Representative (VSR), VSR (Rating), VSR (Authorizer), VSR (Authorization Quality Review Specialist), or equivalent.

Must have at least 1 year of experience reviewing DBQs.

Proficiency in claims-oriented medical terminology

Knowledgeable regarding the VA Manual (M-21)

Literacy in Microsoft applications, including, but not limited to, Excel and Word

Understand the principles of quality and risk management

Working knowledge of Continuous Improvement, or Continuous Quality Improvement (CQI), methodologies

High School Diploma or equivalent