Virtual Assistant

The most important task to avoid denials, timely filing and to ensure that every claim will be processed correctly is by sending accurate claims to payers and should a one day processed. Understanding the denial is the key to not get a denied claim repeatedly because cash flow to providers is the most important.

My medical billing career starts when I work in BPO industry for almost 9 years. My experienced is with US healthcare account insurance company Blue Cross Blue Shield. I am not only experienced and well versed in Medical Billing and I am also proficient in Insurance Verification and Prior Authorization. I am also adept in medical terms, medical codes, diagnosis codes and precertification.

I am doing RCM, assisting providers for almost 9 years. I am well versed and highly skilled. From patients calling in to schedule their appointments, to insurance verification, to asking the providers the super bill and sending clean claims to insurances.

Starts when receiving clean claims from providers, to checking claim forms if they are correctly billed, processing payments if approved, processing denials if denied or on hold if we need additional information from providers. If paid, Explanation of Benefits will be forwarded to providers and patients, if denied, EOB will be sent to providers and patients as well. Denied claims usually needs assistance and helping the resolution is crucial and needs assistance.

I started became a scheduler when I worked as a virtual assistant. I am savvy and can learn easily to avoid providers conflict and rescheduling which sometimes make patients angry and possibility of losing them as patients.

In doing insurance verification, asking the right questions, understanding the terms and proper documentation are most important to avoid claim denials and most importantly to get the right payment for providers. The reason why I put 5 stars in here because when I was working in BPO industry for almost 9 years, I'd prefer to assist providers in their claim status because it felt good when I was able to solve their concerns rightfully.

Understanding the denial and working on it on time is the most important task for me. Asking the right question is the key and medical billers should be updated like newsletter in case there are changes or restructure of policies and guidelines.

I am well versed and proficient when doing this task. I am still doing this as a virtual assistant. If there could be another 5-star rating, I would greatly rate my skill as expert.

I am capable and comprehension is the key to have this skill because I need to prioritize the most important email and time critical.

I would say, my skills and my task were not complete if good customer service is not associated. To avoid complains and to build customer's trust, good customer service is the key.

I am familiar and knowledgeable with medical terminology and medical billing.