A Deep Look at Medical Billing

It’s easy to get lost in what exactly all of the things that are related to medical billing entail, and what a medical biller does. The most basic definition of what a medical billing company does is: Reconciliation of insurance and patient responsibility, while resolving incorrect payments, rejections and dealing with outstanding accounts. They need to be up-to-date on the insurance ICD-9, procedure codes as they relate to medical billing and insurance verifications. Billing professionals have to be cognizant of the yearly changes and updates that occur in the industry, meaning they have to stay up to date on coding and billing regulations to submit clean claims.

So, what does a day in the life of a billing professional entail? We can answer that:

• A medical biller would likely start the day coding patients’ medical information for reimbursement.
• Ensure the insurance companies are being billed correctly, that things are properly coded and submitted in a timely manner.
• Troubleshoot with the insurance companies in case of any issues.
• Use systems and software to code information.
• Work as a liaison to doctors’ offices, clinics, and hospitals and communicate any pending or related items.

We’d love to answer any other questions you may have about working with a medical billing partner at Gables Medical Billing. We’re always ready, and happy, to help you receive your payments.