Virtual Medical Assistant

MedStates Virtual Assistants (VA) are specialized in medical billing services which can play a crucial role in streamlining administrative tasks, ensuring accuracy, and improving overall efficiency in the healthcare revenue cycle. Here are some specific duties MedStates virtual assistants are performing:

1. Claims Submission

• Prepare and submit medical insurance claims electronically.
• Verify and validate patient information for accurate claims processing.
• Ensure compliance with coding standards such as ICD-10 and CPT codes.

1. Denial Management

• Investigate and analyze claim denials to identify root causes.
• Appeal denied claims and follow up with payers for resolution.
• Implement strategies to reduce the frequency of claim denials.

1. Insurance Verification

• Verify patient insurance coverage and eligibility.
• Confirm pre-authorization requirements for certain medical procedures.
• Update and maintain accurate insurance information in the billing system.

1. Payment Posting

• Record and reconcile payments received from insurance providers.
• Identify and address discrepancies in payment amounts.
• Keep track of outstanding balances and follow up as needed.

1. Patient Billing and Inquiries

• Generate patient statements and invoices.
• Address patient inquiries regarding billing issues or payment plans.
• Provide clear and accurate explanations of charges and insurance coverage.

1. Coding Support

• Assist with accurate assignment of ICD-10 and CPT codes.
• Review documentation to ensure coding compliance with industry standards.
• Stay updated on coding changes and guidelines.

1. Documentation Management

• Organize and maintain electronic health records (EHR) and billing documents.
• Ensure proper documentation for billing purposes and compliance.
• Assist in the transition to or management of EHR systems.

1. Follow-up on Outstanding Balances

• Conduct regular follow-ups on unpaid or partially paid claims.
• Coordinate with insurers and patients to resolve outstanding balances.
• Monitor accounts receivable and implement strategies for timely collections.

1. Software Management

• Navigate and utilize medical billing software efficiently.
• Stay informed about updates and improvements in billing software.
• Provide support in implementing new software solutions if necessary.

1. Reporting and Analysis

• Generate and analyze reports related to billing performance.
• Provide insights into revenue trends and areas for improvement.
• Collaborate with the healthcare team to implement changes based on data analysis.

MedStates skilled virtual medical assistant services can significantly contribute to the success of your healthcare practice by reducing administrative burdens, improving billing accuracy, and optimizing revenue collection processes.

Sign up now to make use of MedStates Medical Billing Services designed to cater your medical practice needs.