Medical Virtual Assistant

Help providers get enrolled with insurance companies **Answer incoming calls from patients regarding bills, insurance claims, or payment plans ** Assist with billing inquiries, disputes, or corrections ** Help patients understand Explanation of Benefits (EOBs) and claim status **Assist in preparing and submitting accurate insurance claims on behalf of providers **Confirm patient insurance coverage before services are rendered **Help explain balances, copays, and insurance denials to patients **Track submitted claims and follow up on unpaid or denied claims ** Submitting appeals with necessary documentation. ** Investigating and correcting denied or rejected claims ** Identifying underpayments or overpayments **Working on secondary claims or patient balances ** Ensuring that healthcare providers are reimbursed accurately and in a timely manner. **Maintain accurate provider information in billing systems and payer portals Communicate with retail or mail-order pharmacies to correct claim issues **Support or initiate the PA process with insurance or PBMs pharmacy benefit manager **Check patient’s pharmacy benefits, copays, formulary drugs, and coverage tiers **Take inbound or make outbound calls to resolve pharmacy claim issues **Explain billing outcomes to patients or pharmacies when needed

Prepare, review, and send accurate invoices to customers or clients • Monitor outstanding balances and follow up on overdue payments • Maintain up-to-date billing records and documentation • Resolve billing errors or disputes promptly and professionally • Work closely with accounting, sales, or customer service teams • Post payments and update customer accounts accordingly • Generate billing reports and summaries as needed • Ensure billing processes comply with company policies and industry regulations

Input patient data into database and receiving and processing payment. ** Ensure that all required forms (such as consent forms, insurance verification, etc.) are completed accurately. ** Manage patient appointments, including booking, rescheduling, and canceling. ** Confirm upcoming appointments and provide reminders to patients. ** Verify insurance information before or during patient visits. ** Provide patients with necessary information about their health provider’s services or policies. ** Collaborate with medical professionals (doctors, nurses, etc.) to ensure that all patient information is shared and updated. ** Investigating and correcting denied or rejected claims ** Identifying underpayments or overpayments **Working on secondary claims or patient balances