
IsalysRC
Medical Biller/Virtual Assistance
Professional with more than 12 years of experience, and efficient management in RCM in Medical Billing. Knowledge in Coordination of patient care and case management and medical assistance. Experience in Virtual Assistance, managing agendas, emails, and customer service.
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Experiencia / Trabajos Anteriores
Accounts Receivable Representative
Self-EmpIoyed
I provide bill Reconciliation Service to a General Surgery Practice under my own Medical Billing Services Company.
Virtual Assistance
Handling of complaints and solutions
Coordinated work handoffs and schedules with managers.
Generated the Profit and Loss report monthly
Managed the renewal of all insurance
Achievement:
Developed and organized the processes and documentation for the start-up of the company. Created advertising for the Latin market, generating more clients from that sector.
Insurance Verification
Responsible for updating health insurance eligibility and benefits and patient demographics.
According to the treatment required by the Dr, I requested authorization for the procedures.
Communication with the health insurance in case of any non-payment claim.
Achievement:
Denials reductions due to incorrect eligibility as a result of proper updating.
Data Entry
Selected materials needed to complete work assignments.
Labeling of food photos to create data for software.
Identify key data on account statements by carefully analyzing and entering data into firm systems.
Quality control checks of data entered by carefully analyzing data and making corrections if needed.
Review and respond to emails from the team, management, and other employees regarding accounts.
Managed daily data entry tasks in a high-volume environment.
Achievement:
I was part of the team that fed the pilot computerized QA system in vegetables
Medical Biller Specialist
Managed the surgery schedule, required documents, and patient orientation prior to surgery
(authorizations, eligibility, benefits, and postoperative instructions).
Responsible send the office and hospital bills to the insurance company, verifying EOBs, posting
payments to the software, and handling denials by providing treatment notes and documentation
necessary for the process.
Generate reports to manage accounts receivable and the status of patient balances.
Decontaminated and sterilized the medical-surgical instruments and assisted the Dr. in minor
surgeries.
Request the inventory of the surgical and office supply.
Achievement:
Creation of a document that organized three departments (Office, Pre-admissions, and Surgery Room) to reduce the lack of information and documents required at the time of Pre-Admission, Surgery, or Billing.