[Hiring] VA Insurance & Massage Therapy Billing Specialist @Creative Times Academy

Role Description

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:
  • Provide guidance to massage therapists on SOAP note documentation to ensure HIPAA compliance.
  • Review clinical documentation to ensure it meets VA audit and payment standards.
• Team Training and SOP Development:
  • Train front desk and billing staff on VA insurance billing workflows and system operations.
  • Develop and implement Billing SOPs (Standard Operating Procedures) to ensure independent execution.
  • Create compliance checklists and perform periodic audits and updates.
• Optimization and Strategic Planning:
  • Analyze claim denials or payment delays and propose improvement strategies.
  • Provide long-term strategic planning for VA-related business to support revenue growth and clinic expansion.
  • Monitor VA policy updates and CCN rule changes to ensure timely operational adjustments.

Job Objectives:

• Ensure the clinic achieves a VA insurance claim compliance rate of over 95%.
• Reduce claim payment cycles to within 30–45 days.
• Build a replicable VA insurance billing system to support future multi-location expansion.

Company Description