Experience

The Ravens Group, Inc.

• United States
• Business Consulting and Services
• 1 - 100 Employee

• Program Assistant

  • Dec 2012 - Present

  • Processed outpatient medical documentation for permanent record storage • Ensure proper documentation on claim forms for services provided by the vendors by analyzing International Classification of Disease 9th Edition (ICD-9) diagnosis codes and Current Procedural Terminology (CPT) codes compared to medical documentation submitted • Provide counseling veterans, family members, staff, service organizations and community representatives regarding legal entitlement of Non VA Care Coordination (NVCC) medical and dental services, medications and medical supplies • Receive, coordinate, authorize and document information for the Fee Medical Program, sharing agreements, dialysis, dental and other service request under NVCC regulations and policies • Liaison between the VA Primary Care providers and non-VA physicians • Generate notification of eligibility letters on cases to non-VA providers • Compose letters to physicians, hospitals, dentists, veterans, and other providers of services requesting information needed to process claims for medical services, or for responses to Congressional inquiries • Interpret and apply laws, related regulations and policies for each encounter/claim and process claims accordingly Show less