How will you choose your Medical Billers?

Finding a solution to this?

ďƒ˜Assigning the appropriate medical code to each service or diagnosis and examining medical records. ďƒ˜Making sure all the necessary forms are included and signed before medical claims are submitted.

ďƒ˜Analyzing Denied Medical Claims and communicating with insurance companies about any rejections.

 Entering medical codes into database and patient records, creating itemized invoices for insurance companies.

 Answering patients’ billing questions.  Managing the facility’s accounts receivable reports.  Contacting patients and insurance companies regarding overdue payments.

Whereas Specialized Medical Billers are supposed to be proficient in medical terminology, health system supply procedures and insurance diagnosis codes.

 Must process claims for hospitals, private practices, and other care facilities. Insurance billing specialists must expedite the medical billing process.  They use specialized knowledge of both medicine and insurance policies to communicate with insurance companies on behalf of medical personnel and patients.  They do not provide any hands-on care. They assemble and maintain patient records, review transcriptions and interact with physicians to ensure that all relevant information has been recorded.  Identifies and corrects billing errors such as misapplied credits, EMS reporting system, CAD system or other software systems necessary to trace sources of errors.  As allowed by HIPPA, submits medical records to patients, hospitals or other agencies.

Now the question arises whether you would like to have an in-house medical biller or outsource to the medical billing company.

There are three vital factors to inhouse hiring and outsourcing – cost, expertise, and flexibility.