Being a medical biller and collector takes a lot of patience and dedication. As a medical biller and collector on one has a lot of responsibilities in the medical practice. One must make sure that doctor charges are posted and claims are submitted to the correct Insurance in a timely manner. Check claim status. Appeal claims that are denied. Post payments and proper adjustments. Mail out patient statements and make collection calls.
At the end of every day I have to make sure that all medical charges are posted into the computer system. Once the charges have been posted then I submit all the medical claims to the correct insurance carrier. My job is to make sure all claims go thru the clearing house without error. This means all claims must …show more content…
After I posted the payment, adjustments, I generate a bill or statement, indicating the about due by patient (according to the insurance) and mailed to the patient. After three statements sent to the patient no payment is received, then I make a courtesy call to the patient to make an attempt to collect any balance due prior to me sending it to collections department. This is where your “patience” come in play as a medical biller and collector. Many patients will not be happy to receive a medical bill. This is because many of them think that the only money the owe the provider of service is their copayment. They really don’t understand their insurance coverage, especially the elderly. So, I take the time to call the patients insurance and find out what the benefits are and then explain the benefits to him or her, this way he or she could understand why there is an additional payment due to the provider other than the copayment amount. I believe this is an important step that all billers and collector should do, help the patient understand his or her benefits. I know of billers and collectors that work for a billing company and doctors offices that don’t take this extra step, they claim it is not their job.
At the end of every day I have to make sure that all medical charges are posted into the computer system. Once the charges have been posted then I submit all the medical claims to the correct insurance carrier. My job is to make sure all claims go thru the clearing house without error. This means all claims must …show more content…
After I posted the payment, adjustments, I generate a bill or statement, indicating the about due by patient (according to the insurance) and mailed to the patient. After three statements sent to the patient no payment is received, then I make a courtesy call to the patient to make an attempt to collect any balance due prior to me sending it to collections department. This is where your “patience” come in play as a medical biller and collector. Many patients will not be happy to receive a medical bill. This is because many of them think that the only money the owe the provider of service is their copayment. They really don’t understand their insurance coverage, especially the elderly. So, I take the time to call the patients insurance and find out what the benefits are and then explain the benefits to him or her, this way he or she could understand why there is an additional payment due to the provider other than the copayment amount. I believe this is an important step that all billers and collector should do, help the patient understand his or her benefits. I know of billers and collectors that work for a billing company and doctors offices that don’t take this extra step, they claim it is not their job.