Top Responsibilities of a Medical Billing Professional That Make Their Role Necessary
As the physician or manager of a medical center, you will have a lot on your plate to deal with. You will not only have to manage the patients that walk in but also ensure that all the support functions are executed to perfection. Medical billing and coding are one of those functions that work as the lifeline of every medical practice.
Primarily, medical coders and billers have to handle patient claims and work with insurance companies to get them passed. With more people buying insurance today, the importance of medical coding and medical billing in Florida is only going to increase. So, if you do not have a competent staff who can handle these functions, you must look for someone who can handle them diligently.
Among the two functions, medical billing is particularly important since it is what handles all the billing tasks. A medical biller needs to process a set of responsibilities through their regular day at the office. These responsibilities may include, but not limited to the following:
- Get a hang of the insurance guidelines, including those for Medicare, Medicaid, and HMO/PPO
- Review patient bills and fill in if any part of the information is missing
- Audit claims and cross-check their values before submitting them to insurance companies
- Verify that patient insurance is eligible and covers the claimed benefits
- Keep themselves updated with the fair debt collection practices
- Handle denied claims, work around why they were denied, and then submit and appeal for processing again
- Check if the payments made by insurance are as per the invoice submitted
- Schedule the payment plans for patients
- Discuss any discrepancies with the insurance companies and get them sorted at the earliest
- Conduct annual follow-ups with patients according to their medical treatment history
- Respond to patient inquiries as well as those coming from the insurance companies
- Work on delinquent accounts as per the laid down procedures
- Keep an eye on the latest updates and make changes in practice accordingly
- Keep the software updated as per the latest changes
As said, these are a few of the responsibilities of a professional medical biller. The quest to stay updated and deliver to the best of their ability every time is something that all medical practices expect of them. An in-house medical biller may struggle with it, but a professional medical billing company in Florida could deliver on it.
Outsourcing to a Third-Party Medical Billing Company
A lot of practices outsource their medical billing to third-party providers to get better medical billing services with consistency. In addition to that, such services save them a lot of money, while also speeding up their own service delivery and collections. The cost benefits include lesser need to have in-house staff, more accuracy with submitted appeals, no need to provide training for the latest updates, and more. All of that is the responsibility of the billing company and not of the practice anymore.
Are you planning to ease the medical billing load off of your practice? Then call your area’s leading professional medical billing company for further discussion and details today.
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