As a DME and a Medical biller, I can perform end-to-end billing, from charge entry to claim submission and payment posting.
I can complete the transactions for sales orders and prepare invoices for billing Medicare and private/commercial insurance.
I have years of experience doing the following tasks:
> Insurance verification I can check eligibility and coverage, same and similar, and if Pre Authorization is required for a specific DME.
> I am well versed in navigating insurance portals like CGS and Noridian, the Availity portal, and the UHC portal.
> I can navigate payor portals like Optum, Zelis, Change Healthcare, Instamed, Medicaid GA, CGS, and Noridian,
> Charge entry
> Revenue Cycle Management
> Payment posting
> Claim Denial management
> Can search for correct and applicable HCPCS code and fee schedule for a DME.
> Review and ensure that the paperwork is complete and correct with the ICD10 codes, CPT, and HCPCS codes before the delivery and billing of Medical equipment.
> Submit claims to Medicare, UHC, Aetna, BCBS, Humana, Wellcare, Worker's Comp Auto Insurance, and other private insurances.
Back Office:
> Dealing with emails received from a potential customer regarding questions about how insurance pays and explaining their possible financial responsibility.
Accounting side:
> Posting of Payments, understanding of EOB and Medicare payments with recoupment or adjustment.
> Acquiring payments from GAMMIS, Payspanhealth, Changehealthcare, Optum, Availity, Zelis, and others.
> Checking order status to see if the equipment has been received and is ready for billing.
> Creates sales orders (invoice ) for billing and submits claims using DMEWorks.
> Check the claim status to see if it has been finalized or if there is any rejection report and fix it.
> Perform other duties as assigned.
My quest is to save your precious time so you can spend it growing your business instead of doing little things that can be time-consuming.
I can do the following tasks a well-rounded virtual assistant can:
Payment posting
Revenue Cycle Management
Accounts Receivable Management
Claim Denial management
Google-docs
General-office-skills
Data Entry
Internet research
I'm ready to work with you and bring success to your business.
Verified
