by Herbert Reich

One sector of the economy which is still growing even in the midst of the current economic uncertainty is the healthcare industry. One of the strongest growth areas within the industry in terms of employment opportunities is positions in medical billing. After all, everyone employed in the healthcare field, from heart surgeons to lab technicians wants to be paid for their hard work. The medical biller is the person whose responsibility it is to make this possible.

Medical billers usually work for a health care provider such as a hospital or HMO and are tasked with preparing and submitting insurance claims. A medical biller has to have a great deal of attention to detail and accurately enter data as they work. In a medical billing career, you’ll have to answer questions from clerical workers, patients, insurance companies and hospital staff by phone, email and in person. You’ll also have to have a solid set of problem solving skills to handle complaints as they arise. A medical biller also has the responsibility of entering payments received from the insurance companies as they come in, along with any adjustments which are necessary. The medical biller has to determine how to get the largest possible payment from insurance companies when they refuse to pay, the biller who helps patients decide if they are better off with a payment plan or paying with a single payment and following up on and reporting delinquent accounts receivable.

As you become skilled as a medical biller, you’ll acquire a lot of medical terminology and knowledge. You’ll learn the meaning of all of the suffixes, prefixes and root words involved in the medical field. You will also learn a lot about anatomy and the names of diseases. While you’ll probably never learn them all, you’ll be surprised at how large of a body of knowledge you’ll acquire as a medical biller.

In preparing to process medical insurance paperwork, the biller needs to communicate effectively with the physician or lab technician who has performed a procedure. You will need to take the initiative to identify times when a patient is seeing a doctor for a one-time visit and possible follow-up, or whether the doctor wants you to bill a set fee for a series of visits for something like fracture care. You must be able to compare the patient’s diagnosis with the procedure that was performed and make corrections if needed. For example, if the patient’s last complaint was a cervical neck sprain and he is currently seen for a dog bite, the correct diagnosis must be identified on the insurance form to justify a tetanus shot. The biller becomes a master at decoding the doctor’s illegible scrawling: was Benzaclin for acne ordered, or was it Benadryl for allergy?

Along with all of these other duties, a medical biller has to develop a diplomatic talent. Billers have to communicate effectively with very busy physicians and other medical professionals who are often pressed for time. You can gain all of the necessary medical knowledge from the medical billing course offered by Ashworth College. You’ll be able to handle the challenges of this demanding job while earning a good income.

About the Author: