What is Medical Billing? Medical Billing refers to the process of submitting all the formalities when claiming some sort of funds with insurance companies to make payment to a healthcare provider for the services they rendered.
The process used in majority of insurance companies are identical no matter they are government companies or private owned.
Actually, when a doctor or a licensed healthcare provider delivers the treatment a patient, he/she no doubt wishes to be offered with a certain fee in exchange.
If a patient directly pays the medical fee to the physician, then no such claim is necessary, but in case the patient holds a medical health insurance, then it's the duty of physician to claim on the behalf of patient to the concerned insurance company so that he/she could receive the payment for the services offered.
Typically, a HCFA (a standardized format) is used either in electronic media or paper for billing record. It actually is an authorization ordering the insurer for making immediate payment to the concerned health care provider, but not to the insured one.
Once an insurance company receives the claim, they thoroughly determine whether or not they are liable to make payment for the benefits.
Medical biller is the one who actually generates the electronic record. The medical biller is greatly responsible for translating medical terminology, procedures, diseases, and diagnoses into the coded billing statements, such as ICD-9 and ICD-10 codes, entering patients' details into databases, mailing the billing statements of patients to the concerned insurance companies, checking for the payments received, and pursuing on for the unpaid insurance claim, if any.
Therefore, an educated, well informed, decent, and efficient medical biller is absolutely required for filing claims in a proper manner so that the odds of being rejected or disapproved can be totally eliminated.
Author: Yan Susanto
Source: http://ezinearticles.com
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