Rafia A.

Greetings! I’m Rafia — a dedicated, detail-oriented, and fully HIPAA-compliant Medical Virtual Assistant, Medical Billing Specialist, and Healthcare Consultant with 6+ years of hands-on experience supporting US-based practices. I help healthcare providers run smoother, faster, and more profitable operations. Whether you are struggling with eligibility checks, claim denials, AR follow-up, patient coordination, or authorizations, I’m here as your end-to-end medical billing and virtual support partner. ⭐ What I Can Do for Your Practice I support practices of all sizes with: Insurance Eligibility & Verification Real-time checks via Availity, Navinet, UHC, Cigna, Healthfirst, Carefirst, etc. Over-the-phone verification for complex plans & special cases. Medical Billing & Revenue Cycle Management Clean claim creation & submission Charge entry, denial management & appeals AR follow-up (30/60/90/120 days) Referrals Rejections handling ERA/EOB posting Patient payments & balance follow-ups Monthly/quarterly reconciliation & reporting Medical Virtual Assistance Appointment scheduling, rescheduling & confirmations Prescription refills & patient communication Patient demographics entry Balance collection & payment reminders Chat/Email/Front-desk support Medical transcription Medical scribing Authorization Specialist Prior authorizations for procedures, imaging & medications (including biologics) Portal submissions & insurance calls Retro auths & follow-ups Quality Reporting (MIPS & HEDIS) Data collection, tracking & submission Practice optimization to improve performance measures ⭐ Software & Tools I Master EHR/EMR: ECW, AdvancedMD, Kareo, Practice Fusion, Athena, WebPT, CureMD, Dentrix, TheraNest, Greenway Intergy, Practice Suite, and more. Insurance Portals: Availity, Navinet, Payspan, Humana, Medicare portals (CGS, WPS, Noridian, Novitas, Palmetto GBA), Optum, Cigna, UHC, Health First, HRSA Uninsured. Office Tools: MS Office, Google Workspace, Dropbox, Basecamp Typing Speed: 35–50 WPM ⭐ My Clinical & Billing Expertise ICD-10, CPT & HCPCS coding accuracy Medicare, Medicaid & commercial insurance guidelines EDI 835/837 enrollments Documentation review & auditing Strong understanding of payer reimbursement policies Ability to perform efficiently with little to no supervision ⭐ Specialties I Support Urgent Care • Family Practice • Pediatrics • PT/Chiropractic • Radiology • Internal Medicine • Cardiology • Oncology • Psychiatric & Mental Health • Pain Management • Home Health ⭐ Why Clients Choose Me ✔ Reliable, organized, and proactive ✔ Fast learner with strong communication skills ✔ Committed to accuracy and compliance ✔ Results-driven and deadline-focused ✔ Helps reduce operational workload and increase revenue If you’re looking for a highly skilled Medical Virtual Assistant or Medical Billing Specialist who can seamlessly integrate into your system and handle everything from eligibility to AR and patient support — you’re in the right place. I look forward to helping your practice thrive. Thank you for visiting my profile!