How to Run a Medical Billing Department

The process of medical billing entails sending the claims from a medical professional or doctor to the insurance company or other government finance organization. According to meditec.com, this procedure then allows the patient to receive money from his medical billing company to pay for the services that he received from the doctor. These companies have many responsibilities when handling claims and money for their patients.

Instructions

• 1

  Collect the accounts receivable for customers after they visit the doctor or have some other medical procedure. As said by investorwords.com, an account receivable is the money that is owed from the customer to a medical company to pay for the services or goods that he received. The account receivable usually isn’t collected until the patient is sent an invoice.

• 2

  Gather the money that the patient was required to pay for his co-pay. This is usually around ten or fifteen dollars and is given to the medical department directly after the patient receives services or goods from the doctor (expert-system.com). Your company should have a policy intact that expects the patient to pay a certain amount of money each time he visits the doctor. Make sure everyone understands and obeys this policy.

• 3

  Help the patient when he appeals a claim denial. A claim denial is when the patient requests money and does not receive it or tries to register for disability benefits and the insurance company denies his request. The patient can then appeal the claim denial and try to overturn the decision. Work with the customer in his efforts to turn around the denial.

• 4

  Analyze the records of the customers to show what areas are helping your company to make money and what areas are not. According to medicalbillingandcoding.net, this helps you to understand the best options when discussing and performing contract renewals.

• 5

  Comply with the HCFA (Health Care Financing Administration) rules. This organization establishes standards for medical providers, who have to comply to meet certification requirements. The HCFA also oversees all health financing.