Disability Claims Triage Agent - Remote

As a VA Disability Claims Triage Specialist, you are responsible for reviewing Electronic Service Records (ESRs) upon receipt, ensuring proper categorization, and identifying potential issues. When necessary, you will submit clarification requests to the VA and determine if a case requires priority designation. Additionally, the Triage Specialist supports the Call Center by accurately documenting pertinent information and assisting with inquiries as needed. This position plays a crucial role in supporting veteran healthcare services by ensuring the accurate and efficient processing of medical records and service requests.

WORKSITE: Remote

WORK SCHEDULE: Sunday - Thursday or Tuesday - Saturday. You must be able to work 7 a.m.-7 p.m., as the schedule will rotate.

COMPENSATION: $18.00 -$ 20.00 per hour

WHAT WE OFFER:

• Paid sick leave based on state regulations after 90 days of employment
• Medical, dental, and vision are offered after a waiting period (60% paid by Fortuna)
• Free TeleMedicine and Mental Health for all employees and their families
• Additional volunteer options such as Group Life Insurance, Accidental Insurance, Critical Care, Short Term Disability

WHAT YOU'LL DO:

• Obtain pertinent medical records from other facilities.

• Assess veteran contentions for appropriate Disability Based Questionnaires (DBQs).

• Align DBQs to appropriate medical evaluations or medical opinions.

• Identify gaps and missing documentation in Examination Scheduling Requests (ESRs) and submit clarification requests, as appropriate.

• Submit clarification requests to appropriate parties.

• Prepare ESRs for evaluation by medical providers.

• Participate in team meetings and provide feedback.

• Demonstrate adaptability and positively accept change.

• Assist colleagues upon completion of assigned duties.

• Help orient and train new team members.

• Follow all VA and governing body policies and procedures regarding HIPAA compliance

WHAT YOU'LL BRING:

Education:

• Bachelor's or Associate's degree preferred.

• High school diploma or GED required.

Experience:

• Minimum of 1 year of customer service or clerical experience preferred.

Skills and Abilities:

• Excellent organizational skills.

• Strong communication and interpersonal skills for effective collaboration across teams.

• Strong customer service skills, including active listening, empathy, respect, and the use of open-ended questions.

• Ability to multi-task and adapt to shifting priorities.

• Proficiency in making critical independent decisions and prioritizing tasks appropriately.

• Ability to document thoroughly and accurately in electronic health records.

• Knowledge of office workflows and interoperability.

• Ability to work independently and collaboratively within a team environment.

Fortuna operates as a staffing agency that sources, screens and presents potential candidates for employment opportunities on behalf of our clients.

Fortuna was founded in 2012 by practicing professionals with more than 50 combined years of experience. Our headquarters is in McClellan, California with offices in Los Angeles and New York, and satellite offices in the Philippines and Israel. Fortuna is an active member of multiple California service agreements, including the CMAS, ITMSA (Tier 2), and CalPERS SpringFed Pool, as well as various municipalities and large corporation vendor pools

Career Site: www.gofortuna.com.