Accurate & Efficient Medical Biller | Maximizing Revenue for Healthcare Providers | Medical Virtual Assistant | U.S Registered Nurse | Hemodialysis Nurse

As a medical biller, My day-to-day tasks includes:

1. Reviewing medical records and documentation for accuracy and completeness.
2. Assigning relevant codes (ICD-10, CPT, HCPCS) for diagnoses, procedures, and services.
3. Preparing and submitting medical claims to insurance companies.
4. Ensuring compliance with regulatory guidelines (HIPAA, OIG, etc.).
5. Managing and following up on claims status, denials, and appeals.

Administrative Tasks:
1. Verifying patient demographics and insurance information.
2. Processing payments, adjustments, and refunds.
3. Maintaining accurate records and databases.
4. Generating reports for practice management and analysis.
5. Communicating with healthcare providers, staff, and patients.

Quality Control Tasks:
1. Auditing claims for accuracy and compliance.
2. Identifying and addressing coding errors or discrepancies.
3. Implementing quality improvement initiatives.
4. Staying updated on coding guidelines, regulations, and industry changes.
5. Participating in training and education programs.

Additional Tasks:
1. Handling patient inquiries and concerns.
2. Collaborating with other departments (e.g., clinical, administrative).
3. Participating in special projects or initiatives.
4. Maintaining confidentiality and adhering to HIPAA standards.
5. Continuously improving processes and workflows.

Software and Tools:
1. Electronic Health Records (EHRs) systems.
2. Practice Management Systems (PMS).
3. Coding software (e.g., Encoder, Cerner).
4. Insurance company portals.
5. Microsoft Office or Google Suite.

Skills and Qualities:
1. Strong analytical and problem-solving skills.
2. Attention to detail and organizational abilities.
3. Effective communication and customer service skills.
4. Knowledge of medical terminology, anatomy, and coding systems.
5. Ability to work in a fast-paced environment.

Work Terms

Flexible Hours