Zen-Virtual Medical Asisstants and Scribes

We are looking for a virrual assistant with experience in RCM management. Key Responsibilities: 1. Patient Registration & Verification: • Collecting patient demographics and insurance information. • Verifying patient insurance eligibility and benefits before services are provided. 2. Charge Entry: • Accurately entering the charges for the medical services provided into the practice management or billing system. • Ensuring that the correct codes (CPT, ICD-10) are used for billing purposes. 3. Coding & Billing: • Reviewing medical records and documentation to ensure proper coding (ICD, CPT, HCPCS). • Submitting claims to insurance companies and government payers (Medicare, Medicaid). 4. Claims Follow-Up: • Monitoring claims for payment and resolving any rejections or denials. • Communicating with insurance companies or patients to clarify issues or discrepancies. • Following up on unpaid claims to ensure timely reimbursement. 5. Payment Posting: • Posting payments received from insurance companies and patients to the appropriate accounts. • Ensuring that all payments are accurately recorded in the practice’s financial system. 6. Accounts Receivable (A/R) Management: • Monitoring accounts receivable aging reports to ensure timely collection of payments. • Sending out patient statements for outstanding balances and negotiating payment plans when necessary. 7. Patient Billing & Collections: • Managing patient billing inquiries and providing clear explanations of charges. • Handling patient collections, including payment plan arrangements. 8. Compliance & Reporting: • Ensuring that all billing and coding procedures comply with healthcare regulations (e.g., HIPAA, CMS guidelines). • Preparing financial reports and performance metrics related to the revenue cycle. Required Skills and Qualifications: • Knowledge of Medical Billing and Coding: Familiarity with ICD-10, CPT, and HCPCS codes, as well as insurance billing rules and regulations. • Understanding of Insurance Plans: Knowledge of different payer types (private insurance, Medicare, Medicaid, etc.) and their billing requirements. • Attention to Detail: Accuracy is critical in submitting claims, coding diagnoses, and managing financial records. • Communication Skills: Ability to communicate effectively with insurance companies, patients, and internal teams • Analytical Skills: Ability to assess and manage aging accounts, identify trends, and improve revenue cycle performance. • Software Proficiency: Familiarity with practice management systems billing software, and electronic health records (EHR). • Billing and Coding Software: E clinical works • Insurance Portals: Used for verifying eligibility, submitting claims, and checking claim statuses. • Microsoft Excel: For reporting, analyzing A/R, and tracking key performance indicators (KPIs).

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Happy new year to all . Our virtual medical assistants go above and beyond in taking care of patients and take pride in what we do. May the new bring prosperity, health, peace and happiness to the world !