Skip to main content

Electronic Medical Claim Billing

Despite the fact that electronic medical claim billing has been constantly touted as the doctor's key to getting paid, not many of us often recognize the medical biller's importance. Electronic medical claim billing makes it possible for doctor's to get paid for services they render to their patients. With the emergence of health insurance plans, HMOs, PPOs, and the like, medical offices are swamped with tons of billing claims to be submitted. The electronic medical claim billing specialist makes everything simpler while at the same time reducing mistakes and coding inaccuracies.

Although most doctor's offices request that payment be made at the time a medical service is provided in order to minimize billing and prevent losses, every medical office has a need to maintain individual patient accounts for billing and for collecting money. This is where electronic medical claim billing specialists come in. In a small practice or a suburban clinic, the task of handling electronic medical claim billing may be simple and as such, is often assigned only to the medical assistant. However, when it comes to bigger practices and clinics where patients, and in effect their billing accounts, this task belongs to the electronic medical claim billing specialist.

What Medical Claim Billing Specialist Must Know

The responsibilities of the electronic medical claim billing specialist is many. He is responsible for reviewing patient's insurance coverage and explaining the physician's fees to the patient. The electronic medical claim billing specialist also estimates what charges payers will cover, how much patients should pay, and prepare complete and accurate health care invoices and claims.

This being said, the electronic medical claim billing specialist must therefore know the different methods of billing patients, understand various collection methods, ethical and legal implications, and answer patient's questions about their health care plans and the office's billing routine.

Other Knowledge and Know-How

Electronic medical claim billing also calls for knowledge and understanding in medical terminology, diseases, diagnoses, and human anatomy. So, as a medical biller, you need to be trained in such so you are prepared to face whatever challenges posed by your workplace.

In addition, state of the art word processing and accounting skills are a must in electronic medical claim billing. The electronic medical claim billing specialist must be a proficient typist with typing speeds of at least 45 words per minute. Besides that, they must also be skilled in bookkeeping as well as billing and accounts receivable management.

Popular posts from this blog

Selling Individual-Based Coverage: Medical Malpractice Insurance Broker

If you are interested in helping others help themselves, are independent and enjoy meeting people and striking up conversations, a career as a medical malpractice insurance broker might be for you. As an independent agent, or broker, you will help physicians find the right kind of malpractice coverage for their practice. Here is some background on the career or medical malpractice insurance broker that you should consider before deciding if this is the career for you. Basics Most of the time, insurance agencies will hire applicants with a college degree, specifically in business or economics, as well as a license to work in insurance. Insurance companies will require that you are capable to sell to the customers, to be independent in your occupation. As a medical malpractice insurance broker, you would have to have the training and/or experience to be able to sell sufficient insurance to different practicing doctors. Income If you are just beginning a career as a medical malpracti...

Electronic Medical Billing Software

There are several reasons why people are attracted to medical billing and coding as a career. That is why it is no small wonder that medical billing and coding is the fastest growing career choices and occupations, according to the CareerInfonet website. Enjoyment This is perhaps one of the top reasons why people decide to go into the field of medical billing and coding. They work as medical billing specialists simply because they enjoy the healthcare field. Medical technology and anatomy are but child's play to them. They are trained for it so it's only logical that they go into that particular field in medicine where they can make use of their talents and skills. Understanding numbers and codes are also equally important. These are, after all, the scope of medical billing and coding responsibilities, all of which requires some specific knowledge and skills, not only in providing service but in using tools such as electronic medical billing software. Independence Med...

Should There Be a Separate Law for A Specific Malpractice Medical Case?

There has been great controversy on the law and its application with regard to any specific malpractice medical case. The general laws are sometimes too general to do justice to the particularity of specific medical cases. Due to this failure, the doctors who actually commit malpractice escape through the loopholes that the general law permits them. It has long been debated that a specific malpractice medical case should be tried by a special type of court where the judge and jury should be sufficiently knowledgeable on the technical and non-technical factors of that type of medical case. For example, a cancer medical malpractice case should be treated as a specific malpractice medical case in the court of law so it can be easier for the law to take its course. Can a specific malpractice medical case help the claimant win faster? Theoretically speaking, a specific malpractice medical case filed as such can indeed focus the law on the specific factors better than general law. ...