Medical billing is a process where in a certified person for the job submits and performs follow ups on claims to insurance companies in order for health care providers to receive payments for services rendered. This is an interaction between the health care providers as the payee and the insurance companies as the payers. Therefore, medical billing plays a vital role in rendering what is due to the health care providers. This is just one of the reasons why job offers for this field of specialty is expanding and employers are offering their future employees a good pay. For these reasons, so many people are now seeking their own career or even their own business for this field.
Keeping all the opportunities in mind and before deciding to be a medical biller, it is vital to know what one does in the medical billing career and how one can get into the medical billing field.
Medical billing is associated with medical coding (although they perform different functions), because each of them is vital in achieving the expected outcome of the task in obtaining appropriate payments for health care providers. In some companies, billing and coding is performed by the same individuals, while in others, billing and coding are done by different professionals.
Medical billers and coders work in a variety of health care settings such as hospital billing departments, physician’s offices and insurance companies. Medical billing is done by submitting medical codes seen on claim forms to payers, updating client insurance information, appealing denial claims, and providing follow- up documentation to payers. It utilizes the alphanumeric and numeric codes assigned during the medical coding process. Medical coders on the other hand, assign numeric and alphanumeric codes to the procedures and diagnoses found in the medical records of their clients. These codes should provide a “short- cut” version of the lengthy discussions of diseases and illnesses, treatments and medications. These codes should be reliable enough to provide vital information for resource management and marketing, health care statistics and accurate reimbursement.
A medical biller and coder should be specially trained and have obtained a certificate or diploma that is geared toward insurance and medical billing. They should have acquired a credential as a Certified Reimbursement Specialist through the American Medical Billing Association. It is also an advantage if they enroll in a school where the instructions are given by medical billing professionals and owners of medical billing businesses. These are guarantee of a high level of professionalism and commitment in the community, as well as efficiency and accuracy of services that they will render to their own clients.
So if you are interested to gain a good career in the medical billing community, carefully choose a school that offers a certified and accredited curriculum for the field. Most accredited and certified medical billing schools even prioritize their own students for job openings after they have acquired their certificate or diploma. According to the Bureau of Labor and Statistics, the field of medical billing is expected to grow in the coming years and the rewards are also expected to be very delightful, so we could perceive this type of career to be truly rewarding and enjoyable.