Medical billing is the process of submitting medical claims to health insurance companies to receive payment for services offered by clinic, nursing home, hospital or any other healthcare provider. As most insurance companies are reluctant to reimburse insurance claimsnd usually have tendency to lower the cost they have to pay, medical billers play a vital role in managing and boosting the revenue of medical practices. Hiring medical billing services is beneficial for health care practices and health care service providers in many ways:
- Medical billing service providers ensure that a health care facility receives reimbursement for the work performed by them. A knowledgeable biller can optimize revenue performance for the practice. They provide medical billing services to process and follow up on claims sent to health insurance companies for reimbursement of services rendered by a healthcare provider.
- Medical billers assurethat medical office revenue cycle runs smoothly. The duty of medical biller usually vary according to the size of healthcare facility, however, they collect all the data pertaining to medical claims including charge entry, claims transmission, payment posting, insurance follow-up, and patient follow-up.
- They continuously communicate with physician and other health care service providers to clarify all the doubts. However, they do much more than filing the medical claims. They obtain all the information about the treatment to make sure you receive proper reimbursement for every medically necessary procedure.
- Medical billers are responsible for numerous tasks like processing patient data, such as treatment records, patients’ diagnoses and related insurances. Hence, reputed medical billing service providers make use of specialized software to efficiently and accurately manage client information and insurance claims.
Medical coding and medical billing services are lifeline of a successful managed medical practice. Medical billing service provider should be flexible enough to fit into your practice’s current operations. It is important for medical billers to be able to read and understand medical records and be familiar with CPT®, HCPCS Level II and ICD-10-CM codes. Most of the reputed service providers offer CMS, HIPAA, PCI, and Government Incentives Certified Electronic Solutions, so you and your staff has total control and complete access from any computer with Internet access.