VA Claims Follow-Up Specialist
SYNTRIQ HEALTH SOLUTIONS LLC · syntriqhealthsolutions.com
Corinth
The job in short
Claims follow-up specialist.
Details
- Found
- 20 d ago · posted 2026-04-14
- Location as listed
- Corinth, MS, USA
- Role
- Insurance / Claims / Underwriting
- Source
- The company’s own careers site
Full description
Job Details: Job Location: Corinth Office - Corinth, MS 38834, Position Type: Full Time, Education Level: Not Specified, Salary Range: Undisclosed, Travel Percentage: None, Job Shift: Day, The VA Claims Follow-Up Specialist will ensure timely and accurate resolution of Veterans Administration hospital claims by proactively monitoring claim status, addressing denials, and maintaining compliance with VA policies and federal regulations.
Key Responsibilities
Claim Monitoring & Status Updates
Track VA hospital claims through systems like HSRM (HealthShare Referral Manager) and eCAMS Provider Portal.
Verify receipt of claims and follow up with VA representatives and Third-Party Administrators (TPAs) such as Optum or TriWest
Authorization & Documentation
Confirm VA authorizations for inpatient and outpatient services.
Ensure the hospital requested an emergency care within 72 hours when applicable.
Denial Management
Investigate and resolve denials related to eligibility, missing authorizations, or medical necessity.
Prepare appeals and submit supporting documentation as required.
Communication
Provide timely updates to internal teams and escalate issues when needed.
Reporting
Generate reports on claim aging, payment variances, and resolution timelines.
Use Epic or similar systems for real-time account updates.
Qualifications:
Strong knowledge of VA billing processes, Community Care Network (CCN), and Veterans Care Agreements (VCA).
Familiarity with UB-04 and CMS-1500 claim forms.
Experience with electronic billing systems and portals (e.g., eCAMS, Epic).
Excellent communication and problem-solving skills.
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