Medical Billing Clerk Research Paper

Medical practices need someone to compile, invoice and maintain records of the products and services they used in treating patients. That person is the medical billing clerk. This role is critical for obtaining payment from insurance companies and patients. It is important for medical providers to understand just what the role and duties of a medical billing clerk are.

Now, the exact title used for the medical billing clerk can differ greatly from practice to practice, region to region. Other common terms for this role include medical billing specialist, billing account manager, A/R specialist, and billing and insurance coordinator. Some practices use different terms based on the individual's experience and responsibilities. Quite often, the term billing clerk …show more content…
The provider will make notations of what services and products were involved. The billing clerk is responsible for assigning a charge for each of those services and products. A single visit to the doctor can involve several different charges depending on what was involved. For example, it might be an annual check-up and the patient had to have blood drawn for tests. Or it might be the patient had the flu and needed the doctor to write a prescription.

The medical billing specialist also invoices for the products and services that were charged. So, once all services and products were charged within the billing system, the clerk can then generate invoices for payment. If a patient does not have insurance, the invoices are sent directly to him or her for payment. If the patient has insurance, the first step is to bill the insurance company, then any remainder is billed to the patient.

Quite often there are questions about what services and products an insurance company will provide and how much the insurer will pay. It is most often the billing specialist who contacts the insurance company to get these questions