Electronic medical billing entails as many various responsibilities as medicine itself. Electronic medical billing is often associated with medical coding. What most people don’t know is that, though these two are related, they demand different sets of tasks and responsibilities.
Among its many similarities is its important role in the practice management industry. However, they differ in the job description. In medical coding, the coder selects the proper diagnosis and procedural codes. In the field of electronic medical billing, however, the responsibility requires one to decide on achieving optimal reimbursements, using as his basis, the diagnostic and procedure codes provided by the coder.
Specialists of electronic medical billing are often seen as the income managers of medicine, as electronic medical billing specialists play significant roles by making sure that doctors get paid duly.
The responsibilities of an electric medical billing specialist include – but is not limited to- managing bills and income of doctors. Another responsibility of an electric medical billing specialist is also on handling health insurances. Having an in-depth knowledge of how insurances work is important for electronic medical billing specialist since, these days, patients no longer have to pay cash every visit to their doctors. Now, patients just simply show their health insurance identifications. It is every electronic medical billing specialist’s responsibility to be able to handle and maneuver their way around the intricacies of payments covered by health insurance policies.
Services provided by the electronic medical billing specialists also include both the very basic and the major medical coverage plans like Free-For-Service Plans, Point-of-Service Plans (POS), Preferred Provider Organizations (PPOs), and Health Maintenance Organizations (HMOs). Consequently therefore, electronic medical billing professionals have to be familiar with the different ways with which an insurance company can make its payment.
The Responsibility of Invoicing
Another major responsibility of and electronic medical billing professional is on invoicing. As mentioned, there is a fast-growing number of patients with insurances under HMO wherein the patient simply co-pays for the medical service and the balance of the doctor’s bills will be paid for by the insurance company. It is the electric medical billing professional’s duty therefore, to ensure the invoicing of the patient. Of course, recording of payment entries are executed with software and programs that handle medical billing needs.
Duty Hours of Medical Billing Professionals
Electronic medical billing professionals are usually either employed in large companies or operate independently. Regardless of whether they are practicing privately as individuals or employed in companies, an average medical billing specialist usually works the regular forty hours, covering five days a week, during which, they take care of entries made by walk-in patients in daytime.