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MEDICAL BILLING HOME-STUDY COURSE
is a comprehensive program for those interested in a career in Medical Billing. This at-your-own- pace course covers every aspect imaginable!
Top Features
 Study at Your Own Pace Study Online or Away from Computer Telephone, 24 Online & Email Support Provided Take Exams Online Medical Billing Training Software Included |
 Claims Processing OperationsWhile an increasing amount of patient care is being funded through HMO related insurance, where the patient makes a small copayment at the time of service and the doctor bills the managed care company for the balance, a number of patients still need to make arrangements to pay for their medical services over a period of time.
 Confidentiality and DiscretionIncoming calls from patients with questions regarding a bill are also directed straight to the medical biller's office and from time to time patients must be contacted regarding a past due bill. Medical billers rely on excellent customer service skills when it comes to making contact with these patients, as well as insurance companies. When doing so they must be assertive, and communicate effectively without becoming confused when a client asks questions about billing statements.
The way the medical biller communicates over the phone explaining charges, dealing with criticism, giving and receiving feedback can make or break business relationships.
 On February 16, 2006 the Health Insurance Portability and Accountability Act was finalized, and enacted. Medical billers and coders must know and adhere to this law which is designed to establish national standards for all health care transactions and to ensure the security and privacy of all health related information. 13 Steps Work Flow Chart:
1. Enter your patient information, adding new insurance carriers to your database as you go.
2. Enter the referral source or referring physician as well as any other information you've agreed to track for your clients.
3. Enter CPT and ICD-9 codes from the superbills and day sheets. Your software will automatically fill in the amounts charged for each procedure. Enter each charge on a separate line.
4. Transmit electronic claims directly to insurance carriers or to the clearinghouse.
5. Receive the audit report, review and correct errors on it.
6. Forward clean claims and resubmit rejected claims.
7. Print any paper claims.
8. Separate claims into your copy and the insurer's, fold and insert in envelopes.
9. Weigh envelopes that contain more than five claims to make sure you have sufficient postage.
10. Post payments to each patient's account. Most software programs include features that show which charges have been paid, how much is left on each charge and which charges are still unpaid.
11. Print aging reports so you can review each patient's account to determine which ones haven't been paid in a timely manner. Most software packages will do this for you.
12. Call insurance carriers to check on the status of delinquent claims. Most of your follow-up calls will be for paper claims.
13. Put your feet up and relax. You've earned a breather.
*This is according to the high-kicking Radio City Rockettes who described the medical claims specialist's daily bump and grind in a precision tap routine.
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