Medical Billing Specialists

I’m looking for a dedicated all around virtual assistant who can help you take my business to the next level. Someone who has worked as a Medical Biller and Claims Specialist in US healthcare companies and has experience using CHAMPS and have worked 5-10+ years in a US Healthcare Business.

Customer Service Representative, Technical Support Representative, Medical Billing Specialist, Account Receivable, almost all the tasks related to Medical billing is needed. Having experience communicating with US doctors and other third- party healthcare staff i.e insurances, clearing houses and third party payers are a plus.

Some skills required-

MEDICAL BILLING (A)
- Eligibility & Benefits verification.
- Appointments Scheduling.
- Credentialing guidelines with payers.
- Patient Demographics and Charge entry.
- Insurance claims submission via clearing house and Paper submission.
- Accounts receivable and Denial management.
- Payment Posting. 
 - Claims F/U on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...)
- Claim status from insurance Portal and calls.
- Submitting appeals for denied claims.
- ICD 10, CPT and HCPCS Coding review.

MEDICAL BILLING (B)
1. Patient Registration
2. Insurance Verification
3. Pre Authorization Request and verification
4. Charge Posting / Super bill review
5. Evaluation of valid HCPCS codes, ICD 9-10 and Modifier
6. Fixing Rejected Electronic claims
7. Checking clearing house reports
8. Provider PIN calling ( for verifying provider TAX id, NPI and billing address)
9. EOB and check search via websites and batches
10. Payment Posting of Insurance and Patient
11. AR Follow up on denied claims via call or websites
12. Appeal project
13. Collection / Refund / Over-Payment
14. Scheduling new patients
I am confident that I can help you with the following tasks:
• Benefits and eligibility verification
• Pre Authorization Request and verification
• Medical Billing
• Account Receivable Representative 
 • Administrative Task

SPECIALITIES-
Durable Medical Equipment, Optometry and Ophthalmology, PHYSICAL THERAPIST, Chiropractic, Accupuncture, Behavioral Health, Ambulatory Surgery, Home Health, Anaesthesiology, Cardiology, Skilled Nursing Facility, Dermatology, Emergency Medicine, Endocrinology, Family Practice, Gastroenterology, General surgery, Internal Medicine, Orthopedic, Otolaryngology, Pathology, Pediatrics, Physical Medicine and Rehabilitation, Psychiatry, Radiology, Radiotherapy, Rheumatology, Urology

PMS SOFTWARES EXPERIENCE-
CHAMPS, Brightree, NextGen, Xifin, Flims, AdvancedMD, Zendesk, Availity and One Healthcare/ Linx.

MAJOR FOLLOW-UP INSURANCES
1. Medicare
2. Medicaid
3. BCBS
4. Aetna
5. UHC
6. Cigna
7. Molina
8. Tricare
9. MVA
10. Humana
11. Self pay

I believe in hard work and honesty and I am always interested in making long-term professional relationships with my employees compensation will be discussed in interview.