VA Insurance & Massage Therapy Billing Specialist.
VA Insurance System Setup and Integration:
- Guide the clinic to complete registration and credentialing with SAM.gov, CCN (Community Care Network), and TriWest/Optum.
- Assist in establishing and managing Clearinghouse (Availity/Office Ally, etc.) accounts to ensure smooth claim submissions.
- Liaise with VA Case Managers to verify patient authorizations and ensure compliance.
Billing and Compliance Management:
- Responsible for submitting, auditing, and tracking VA insurance claims to avoid denials or delays.
- Ensure proper use of CPT/ICD-10 coding in alignment with authorization letters.
- Establish claim tracking mechanisms; initiate follow-ups if payments are not received within 30 days.
Clinical Service Compliance Support