Medical Biller/ Medical Virtual Assistant

Overview

Looking for full-time work (8 hours/day)

at $5.00/hour ($880.00/month)

College Level

Last Active

May 6th, 2024 (today)

Member Since

September 9th, 2022

Profile Description

Greetings!
My name is Upgrade to see actual info Upgrade to see actual info, passionate and dedicated professional specializing in medical billing. Over the course of my more than 7 years in the BPO industry, I have developed various skills such as customer service, account receivables, payment posting, and medical billing. I also have extensive knowledge in ICD-10 coding, CPT codes, modifiers, medical terminologies, insurance billing processes, guidelines, clearinghouse rejections, credentialing, prior authorization, insurance verification.
I have worked on all functions of medical billing and also did quality checks for the same. I have great experience working on the below-mentioned functions of medical billing.
• Patient Registration
• Insurance Verification
• Pre-Authorization Request and verification
• Charge Posting / Superbill review.
• Evaluation of valid HCPCS codes, ICD 9-10 and Modifier
• Fixing Rejected Electronic claims.
• Provider PIN calling (for verifying provider TAX id, NPI, and billing address)
• EOB and check search via websites and batches
• Payment Posting of Insurance and Patient
• AR Follow up on denied claims via call or websites.
• Claims Appeals
• Collection / Refund / Over-Payment
• Scheduling new patients
Project Specialization:
• Daily Audit of sample size.
• Publishing weekly/monthly dashboard, production, and accuracy report to clients.
• Working on new ideas to improve process accuracy and productivity.
• Doing calibration with QCA, Team, and Client to reduce process variances.
• Tracking or identifying root causes of insurance denials and low revenue.
• Conducting PKT (Process knowledge test) to bridge the knowledge gap.
• Suggesting corrective actions, implementing solutions, and reviewing implementation
• Providing feedback and refresher training to individuals and teams.
• Doing remotely and side by side audits of associates
• Analyzing trends in quality check and fixing the bulk issue right away.
I have worked for the below-mentioned specialties of the provider’s claim specialties:
• Physical Medicine and Rehabilitation
• Family Medicine / Doctor's clinic
• Behavioral Care Solution/Mental Health
• Weight loss
• Dental
• Genetic Testing Laboratory
• Internal Medicine
• DME
• Physical Therapy
• Skill Nursing Facility
I am well-versed in utilizing a comprehensive range of billing software, including:
• Athena One
• Office Ally
• Dr. Chrono
Major follows up Insurance:
• Medicare
• Medicaid
• BCBS
• Aetna
• UHC
• Cigna
• Tricare
• ChampVA
• Humana
My commitment to excellence is evident in the suite of services I offer:
• Patient Demographic and Charge Entry
• Claims Submission and Fixing Rejections
• AR and Insurance Follow-up
• Denials Management
• Appeals Filing (if required)
• Payment Posting
• Revenue Analysis and Reporting
I take pride in delivering comprehensive Revenue Cycle Management (RCM) services ensuring a seamless and efficient workflow for your medical billing needs. Thank you for considering my expertise. I am willing to be trained and open to learning new things. I am a quick learner and self-motivated. Looking forward to working with you.

For more details and if you are interested to my service, you can send an email at Upgrade to see actual info or call me Upgrade to see actual info or Skype:Upgrade to see actual infoUpgrade to see actual info

You can check my resume on this link as reference: Upgrade to see actual info