Veronica L Parisian
Northglenn,CO
Summary
Experienced with examining and processing financial vouchers for accuracy and compliance. Utilizes strong analytical skills to identify and resolve discrepancies efficiently. Knowledge of financial regulations and meticulous attention to detail ensures thorough and precise handling of financial transactions.
Overview
16
16
years of professional experience
Work History
Voucher Examiner Escalations
Veterans’ Health Administration, Office of Integrated Veterans Care, Review & Resolution Department (R&R)
Lakewood, Colorado
05.2021 - Current
- Responsible for auditing provider and beneficiary insurance claims to ensure the proper documentation is submitted for payment. Independently, I perform several functions to include but not limited to:
- My current yearly appraisal is exceptional. It’s based on several work performances. Monthly I completed approximately 127 Customer Relationship Management (CRM), 15 escalated emails and 88 Client Relations & Actions Manager (CRAM) taskers. Part of my appraisal rating is following CHAMPVA program policies that successfully impact beneficiaries’ health benefits.
- When executing high level inquiries, for example White House inquiries, congressional, office of inspector general (OIG) and escalation requests, I coordinate with different departments for reconciliation. I am responsible for informing different department areas of taking specific actions to further complete inquiries.
- I am responsible for reviewing multiple congressional requests for reconciliation. I inform my supervisor of up-to-date developments on what actions are needed from providers or beneficiaries to process inquiries accurately and in a timely manner.
- I have current knowledge, skills, and abilities by staying up to date with written policies, rules and regulations for guidance and accuracy. I practice CHAMPVA’S mission by practicing interpersonal accountability and implement different processing methods and techniques to further provide accurate oral communication to all stakeholders involved.
- Eligibility and Enrollment Verification (EEV) assisting in beneficiary application processing. Customer feedback and tracking my daily data entry 40 Eligibility and Enrollment Verification (EEV) applications a day with a low error rate servicing internal and external inquiries to assist beneficiaries. CHAMPVA has been able to reduce application inventory by more than 70%, and keep applications received under 30-days out.
- Monthly I receive around 60-100 incoming correspondence, and escalation inquires while providing accurate information by composing a well written send back letter to beneficiary or provider in a timely matter. I use and test different systems by ensuring claims process sufficient within Review and Resolution Department.
- I have knowledge on how to use several research methods for example, reviewing veteran’s eligibility status using a software called Veteran’s Information Systems and Technology Architecture (“VISTA”), ClaimsXM (CXM), Enrollment system (VES), Veterans Benefit Management System (VBMS), Defense Enrollment Eligibility Reporting System (DEERS), Pegasystems (PEGA), Data Network (DATANET), and DAPER system. I further analyze a veteran’s documentation to discover any conditions that happened while they were on active duty that would have led a Veteran to be permanently and totally (“P&T”) disabled. I use diverse resources by collecting information from congressional members, senior CSO leadership, providers, and beneficiaries to gain a more in-depth understanding of complex medical information. After reviewing the groundwork, I use different technical software to complete requests from stakeholders and provide my findings to executive government officials.
- Series: 0540-08 Pay Plan: GS Grade: 08-07
Voucher Examiner
Department of Veterans Affairs
Denver, CO
08.2013 - 05.2021
- Examines claims of medical care, ancillary care, and travel for CHAMPVA received from hospitals, clinics, physicians, laboratories, and beneficiaries.
- Determines all processing information is present on claims based on legal entitlement and enters payment information into the VA claims payment processing system.
- Manually calculates and pro-rates proper distribution of Other Health Insurance (OHI) resolution responsibilities based on dates of service provided on claims.
- Demonstrates a high level of commitment to the CBOPC, Health Claims Reimbursement Department by seeking to improve professional excellence and job skill; becoming involved in improving processes, procedures, and the workplace; and displaying a positive attitude in dealings with internal and external customers.
- Supervisor: Zuelma Mascarenas
Program Support Clerk
Department of Veterans Affairs
Denver, CO
03.2010 - 08.2013
- Responsible for the receipt, sorting, prescreening and bar coding as well as wanding and batching of medical submissions for the processing of medical claims and correspondence; examine Eligibility and Enrollment Verification (EEV) Applications Training 2025 Eligibility and Enrollment Verification (EEV) Applications Training 2025 es simple and complex claims to determine entitlement for Health Administration Center (HAC) administered benefits.
- Process all mail sent and received by the PC@HAC to include registered, certified, insured mail, and next day delivery; receives, sorts, counts and screens post office boxes to bundle mail, making sure that checks, Foreign and Spinal Bifida mail is sorted correctly.
- Perform mail presort into action and information categories and reviews material and routes to appropriate section; opens and reviews batches of envelopes in prescreening process; conducts storage retrieval and destruction of sensitive files or documents.
- Process outbound mail and UPS letters/packages and perform light maintenance lifting and relocating boxes to various locations within the organization.
- Utilize proprietary and COTS software applications to verify, sort, and route health insurance claims and billing information.
- Process incoming mail, to include identifying, verifying, and routing to various in-house divisions for health insurance processing as well as various other programs and business operations.
- Receive training for and conduct the operation of various equipment and programs under the scope of the VA; meets and exceeds the production-based quotas for intake, verification, and routing of health insurance claims/forms.
- Verify electronic, Optical Character Recognition (OCR) replications of health insurance claims, forms, and information while concurrently routing health insurance claims for payment.
- Receive continual training in associated divisions and departments, as well as the accomplishment of occupational relevant training documented in the VA’s Learning Management System.
- Supervisor: Michael Frazer - Retired
Education
AA - Business Administration
Arapahoe Community College
Littleton, CO12.2004
Material Handling and Storage Specialist Certificate - undefined
U.S. Army Quarter Master School
Fort Lee, Virginia06.1987
Skills
- Auditing
- Microsoft Excel (Advanced)
- Microsoft Word (Advanced)
- OneNote (Advanced)
- Microsoft Teams (Advanced)
- Communication skills
- Customer Service skills
- Data Analysis
- Leadership skills
- Organizational skills
- People skills
- Reimbursement techniques
Accomplishments
- Other Health Insurance Training 2026
- EEV Applications Training 2025
- ClaimsXM (CXM) Training 2022
- Voucher Examiner Training, Veterans Affairs Health Administration Center, 2021
- Duplicate Claims Reduction Project
- EEV Application Reduction Project
- OHI Reduction Project
- Received “Exceptional” rating on my performance appraisals which resulted in monetary bonus.
AWARDS AND RECOGNITION
Honorably Discharged U.S. Army Veteran, beneficiary of service-connected disability benefits
Timeline
Voucher Examiner Escalations
Veterans’ Health Administration, Office of Integrated Veterans Care, Review & Resolution Department (R&R)
05.2021 - Current
Voucher Examiner
Department of Veterans Affairs
08.2013 - 05.2021
Program Support Clerk
Department of Veterans Affairs
03.2010 - 08.2013
AA - Business Administration
Arapahoe Community College
Material Handling and Storage Specialist Certificate - undefined
U.S. Army Quarter Master School