Learning Medical Billing – Where to StartIf you want to learn Medical Billing, the place to start is talking to several people already in the profession. Ask them questions and take note of their opinions of the future about this career. Study several sources online to get a more complete picture of the job, industry, and places to work. You should also learn more about the working conditions, personal requirements, income, and possible employee benefits. Find out where there are current openings in this field and decide if you want to move on to making this your life’s work.
What Is Medical Billing?Medical Billing takes place in doctor’s offices, clinics, and hospitals, to name a few, and is the way patient claims are paid. This department’s work is the primary source of medical facility revenue. Although the facility may receive private donations or grants, payment of claims brings in almost all of its income. Billers use the diagnostic and procedural medical codes assigned to patient records by Medical Coders. These alpha-numeric codes are applied to billing statements for payment. Medical Billers negotiate and arrange for payment between three parties:
- Medical Providers
- Insurance Companies & Payers
Where Is Medical Billing Used?Medical Billing is used anywhere patients seek medical services and those services generate claims that must be sent to insurance company payers. These medical facilities include:
- Doctors’ Offices
- Hospitals & Dialysis Centers
- Dentists’ Offices
- Mental Health Centers
- Blood Banks
- Hospice Homes
- Clinics & Birth Centers
- Nursing Homes
- Ambulatory Surgical Centers
- Addiction Treatment Facilities
- Diabetes Centers
- Imaging & Radiology Centers
What Medical Billers Do on a Daily Basis
“Medical Billing is used anywhere patients seek medical services and those services generate claims that must be sent to insurance company payers.”The Medical Biller’s job consists of extending the work of medical coders who prepare patient visit reports for you:
- You, in turn, prepare patient claim forms to send to insurance companies or other payers by applying the medical codes to claim statements.
- The insurance companies will be able to understand the codes to determine if the services are covered under the patient’s insurance plan. These codes must be current and accurate to eliminate any mistakes.
- The bill also provides information about the patient’s medical history, insurance data, and why the procedures were performed.
- Many times, the patients have outstanding balances after the insurance pays their part and disallows some charges. The biller asks them to pay in full or make monthly payments.
- Occasionally, a patient will not pay the outstanding balance and must be turned over to a collection agency to obtain the funds.
What You Need to Work in This CareerTo be successful in this career, you need a Certificate in Medical Coding and Billing or an Associate in Occupational Studies (AOS) Degree in Healthcare Administration from an accredited college. You also need personal characteristics to file claims that include:
- Enjoy helping patients get their bills paid and help them enjoy peace of mind.
- Be able to work with a lot of details in an accurate and timely manner.
- Be up to date on the latest medical billing methods and medical codes.
- Make high grades in your educational training
- Be able to follow guidelines and directions from multiple staff
- Obtain professional medical billing certification
Where to Complete Your Training in Medical BillingITI Technical College in Baton Rouge is an ideal place to obtain your Medical Billing training and education. You have two choices to match your career goals and plans:
- Certificate in Medical Coding – You will immerse yourself in training in medical coding and billing, medical terminology, law and ethics, professionalism, and ICD-10 and CPT coding procedures. The faculty will provide a hands-on approach to insurance billing and medical computer software.
- Associate in Occupational Studies (AOS) Degree in Office Administration – If your aspirations include training and education in more depth, go for a two-year degree in this program with a specialization in Healthcare Administration Specialization.You will get the same training as the Certificate in Medical Coding, plus:
- General office practices
- Office etiquette
- Computers & software
- Technical writing & communication
- Management principles
- Human Resource practices
Resources and References:
- Exploring the Fundamentals of Medical Billing and Coding
- introduction to billing
- Everything you need to get started in medical billing & coding