MTM and MTM Transit are healthcare and transportation management companies whose mission is to collaborate with clients in developing innovative solutions for accessing healthcare, increasing independence, and connecting community resources in the most cost-effective manner. As the nation's most trusted partners in removing community barriers, we prioritize the wellbeing of the communities we serve through philanthropy. Nationwide, our diverse employee base is always willing to give back and contribute. As a Woman-Owned Business Enterprise (WBE) certified by the Women's Business Enterprise National Council, we are committed to maintaining and empowering a diverse workforce.
Simply put, we are passionate about what we do and it shows. MTM has been recognized with numerous awards and accolades, including Mogul's Top 100 Innovators in Diversity & Inclusion (2017). The St. Louis Business Journal Healthiest Employers (2020), Best Places to Work (2019), Fastest-Growing Private Companies (2017), Top Family Owned Business (2016) and Top Five Largest Women-Owned Business (2020)
The Verification Specialist is responsible for the verification of trips and claims in accordance with specific health plan and contractual requirements, as well as identifying and reporting fraudulent data patterns. The Verification Specialist will also enter Meals/Lodging data before releasing trips for payment.
This position is located at our office in Eugene, OR.
What will your job look like?
Validate accuracy of transportation provider trip logs
Confirm accuracy of mileage reimbursement logs
Verify authenticity of medical appointments by contacting facilities, directly
Enter denials if the information is obtained using MMIS
Assist with member and/or provider inquiries (missing checks etc.)
Void or reissue payments based on established criteria
Review errors, disputed signatures, fraudulent activity and investigate
Approve or deny trip signatures
Comply with established departmental processes and procedures
Maintain knowledge of departmental processes and procedures
Form consistent and accurate decisions in relation to confidential provider and member information
All you need is:
High school diploma or G.E.D.
Typing speed of 45 wpm
Even better if you have:
Previous data entry, 10-key experience
Familiarity with AS400 phone system
Exemplary communication
Excellent organizational and multi-tasking skills
Ability to make solid judgment decisions
Ability to acquire and maintain in-depth knowledge of department processes, policies, and procedures
Substantial experience in Internet navigation
Skills in the use of computers, including Microsoft Word, Excel and other Microsoft applications
Ability to maintain high level of confidentiality
MTM Incentives:
Health and Life Insurance Plans
Dental and Vision Plans
401(k) with a company match
Work From Home Opportunities
Flexible Scheduling
Paid Time Off and Holiday Pay
Maternity/Paternity Leave
Birthday Holiday
Casual Dress Environment
Tuition Reimbursement
MTM Perks Discount Program
Milestone Anniversary One Month Sabbatical
Leadership Mentoring Opportunities
Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact People & Culture at (636) 561-5686 or talent@mtm-inc.net
