What is Medical Billing?

Job Description of a Medical Biller

Medical billing is a necessary part of any medical practice, doctor’s office, clinic or hospital. This department is responsible for all patient billing and insurance issues. In the simplest of terms, the job of a medical biller is to make sure that the healthcare professionals get paid for the medical services they provide.

The responsibilities of a medical biller can range in scope, depending on whether you have an in-house staff or 3rd party company handling your claims.

stethoscope on money

Generally speaking, the responsibilities of a medical biller include:

  • Using coded data to produce and submit claims to insurance companies
  • Working with insurance companies, healthcare providers, and patients to get claims processed and paid
  • Reviewing and appealing unpaid and denied claims
  • Verifying patients’ insurance coverage
  • Answering patients’ billing questions
  • Handling collections on unpaid accounts
  • Managing accounts receivable reports

It is important to know that there is usually more than one way to code a medical service. If you are a medical practice, you want to hire a medical biller who knows how to code in a way that will maximize revenue for your practice. An in-house staff person who is trustworthy and knowledgeable in negotiating insurance claims is probably your most cost-effective option. But if you are low on resources, and your staff is already swamped with others office responsibilities, consider hiring an outside medical billing service.

Learn More

If you are looking for a medical billing provider, read: Tips for choosing a medical biller.

Find comprehensive information on medical billing in our Medical Billing Buyer’s Guide.

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