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What Is Medical Billing?

Just like any other working professional, doctors, nurses, and clinical staff members need compensation for their services—which makes medical billers a major asset to every healthcare facility, especially in Orlando. No procedure is the exact same, so clinical offices can’t slap a predetermined price tag on each treatment plan. Therefore, professionals in any field of medicine must submit their services for payment through the intricate medical billing system.   

The Connected World of Medical Billing 

There are three parties involved in medical billing and in healthcare reimbursement as a whole—the first, second, and third being the patient, provider, and payer, respectively. Medical billing is the thread that connects each party and ensures that the necessary ones are billed or payed. While the second party of medical billers creates and assigns the bills, or claims, the first and third parties are responsible for making payments on each service provided. 

Claims sent by medical billers to insurance companies, or third parties, include information about the patient and the service provided to the patient. For example, a colonoscopy claim would include the patient’s personal, medical, and insurance information as well as a report on the colonoscopy procedure and the reason it was recommended. 

The Day-to-Day for Medical Billers  

On a daily basis, the majority of medical billers’ time goes to creating claims. Therefore, they must be familiar with various insurance companies and their individual policies. Medical billers also have to verify and proofread each claim to remove any errors and verify that all of the information is correct and comprehensive. 

While there are many software options that can alleviate the complexity of medical billing, medical billers still need an intricate knowledge system to effectively navigate medical codes and assign the proper ones to each claim. The day-to-day duties of a medical biller include tasks such as: 

  • Filing claims with various insurance companies 
  • Tracking previously filed claims 
  • Receiving claim payments 
  • Correcting medical coding errors 
  • Updating billing information 
  • Contacting insurance companies 

Healthcare providers can use automated services or even outsource their medical billing, but medical billers remain imperative to their financial functions.

Start Your Career in Medical Billing

Here at HealthCare Support, our experienced team of healthcare recruiters understand the importance that each medical professional plays in our healthcare system. That’s why we strive to prepare every candidate to secure and succeed in the position that fits their interests, experience, and goals. If your career path is pointing toward medical billing, join our talent network today and gain access to top recruiting tactics designed for medical billers. For more information on our healthcare recruiting services, contact us today at 407-478-0332.

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