State of Washington Classified Job Specification
DDS EXAMINER SUPPORT SPECIALIST 1
Evaluates documents for accuracy, ensures proper regulatory attachments are available, and determines method of delivery;
Has responsibility for the security and handling of confidential protected information. Independently verifies the routing of medical records and other confidential paper and/or electronic records received for claims decisions. Ensures documents are complete and associated with the correct claim;
Screens and verifies identity information, provides claim status:
Assists claimants in understanding the Social Security Disability program requirements; redirects calls if necessary;
Opens, prioritizes, and sorts incoming mail for all staff and for claims processing; collects and provides technical review of outgoing mail by destination and type; logs all cash receipts; ensures medical billing statements are separated and entered into the electronic claim for payment processing;
Arranges for confidential medical records and reports to be sent or released to consultative examination vendors, attorneys, or other authorized third parties;
Researches the AS400 database and SSA eView, creates paper case files for claims adjudication, verifies receipt, and determines accurate fee reimbursement;
Verifies and processes payments for Medical Evidence of Record for ODDS offices; reminds claimants of appointments and program requirements;
Processes and follows up with external state partners for vendor registration; coordinates and performs archiving duties;
Performs other duties as required.
Background Checks are required by the Social Security Administration.
Additional education or experience may substitute year for year for the desirable education and experience qualifications.