Medical Billing Specialist/ Scheduler/ Data Entry

Overview

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

at $16.00/hour ($2,816.00/month)

Bachelors degree

Last Active

March 22nd, 2025 (today)

Member Since

July 20th, 2020

Profile Description

Hi. I am Upgrade to see actual info, I am an Expert in Medical Billing and service related to that. I have 5 years of experience in medical billing and claims. I worked in Account Receivable management, but good knowledge from start to end of Revenue Cycle Management. I have worked before across US for provider and hospital to increase the cash flow, I review unpaid claims and denials for timely payment and cash flow, I do insurance eligibility and benefits verifications for Dental Clinic and Facilities, I do obtain referals pre-authorization and retro-authorization. I do create claims and submitted electronically/paper every day for all payers (Gov't, Commercial and Worker's Comp, PIP) for out of network and in-network providers, I have very good knowledge using website portal like Availity, Navinet, etc. for checking the status or denial of a claim, I have very good knowledge reading EOB, medical terminologies and insurance terminologies, resolve the denial and get the claims paid, also I can do the demographics, EMR, EHR, charge and posting data entry works and posting payments thru the billing software, Billing software I used so far are: AthenaHealth, AdvancedMD, Kareo, Officeally, ACE, Medsym, Azalea EMR & Practice. I also hit the target or the quota that has to be done in a day which is minimum of 40 accounts each day, I do calling insurances to get research about the status of the claim.
I provide services as a USA Billing Specialist, Administrative, and Virtual Assistant as Medical Assistant of a Doctor. I am well trained for HIPAA, Revenue Cycle Management, and Denial Management.
Below are my expertise in Medical Billing:
*Patient demographic entry
*Insurance Eligibility & benefits verification
*Review medical record and claim submission (CPT ICD10 coding)
*EOB Payment posting or refunds payments issues
*ERA downloading & posting, payment posting from the websites
*Preparing monthly reports
*HCFA1500 printing and billing
*Follow-up with insurance companies for denied claims
*Strong claims follow up on denials from insurances like Workers Comp, Government Payers (Medicare, Medicaid etc.), Managed Care and Commercial Insurances (Aetna, BCBS, Cigna, etc.)
*Investigating claims denial and error
*Obtaining Pre and Retro-Authorizations
*Credentialing
*Working on aging reports
These are the services i provide as Virtual Medical Assistant from a Doctor;s office:
-I do filing files by categories, receive incoming call via zoipper, call patients and other doctors clinic via zoipper, do emails, appoinment setter.
-Received patients assist them with filing out forms
-Maintain and retrieve Medical Records
-Scheduling appoinments, Managing the facility;s data base
-Managing Physician's Schedule and processing payments and insurance claims for the patient.
-I have very good knowledge using ACCURO EMR and officeally
Medical Billing Sofware EMR/EHR software i worked on are:
*ECW
*OfficeAlly
*AdvancedMD
*Nextech
*Simple Practice Etc
*Mis Soft
*INSYNC
*Intergy Soft
*ACE
*Office Practicum
*ACCURO
Fast and Accurate Service
100% Protection of HIPAA