What is a Medical Billing Specialist?
Medical billing clerks interpret medical codes and submit bills to insurance companies, patients and other agencies for medical services. A medical biller may also be the coder and the medical receptionist at a small office. In general, however, a medical biller can expect to be primarily responsible for insurance and patient billing.
What does a Medical Billing Specialist do?
Medical billing specialists are largely responsible for making sure medical office revenue cycles run smoothly. Although a medical biller’s duties vary with the size of the work facility, the biller typically assembles all data concerning the bill. This can include payment posting, claims transmissions, even patient/insurance follow-up.
Medical billers also frequently communicate with physicians and other healthcare professionals to obtain additional information/to clarify diagnoses. The medical biller must understand how to read the medical record and, be familiar with CPT®, HCPCS Level II and ICD-10-CM codes.
Required Education and or Certification.
A common pathway for an entry-level position is completion of a 2-year degree or 1-year certificate program in medical billing and coding. Many technicians go on to become certified in a specialty area of the field.
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Skills needed to become a Medical Billing Specialist
These are the 5 essential skills every Medical Billing Specialist needs to have if you want to excel!
- IT Knowledge
- ICD-10-CM Basics
- Soft Skills
- Problem Solving Skills
- Time Management Skills
A Day In The Life Of A Medical Billing Specialist.
A normal day in the life of a Medical Biller does not very too much. A Medical Biller will generally complete tasks in the same series of areas each day as they pertain to patient billing. Medical Billers will also be in constant contact with collection agencies, insurance companies, and health care agencies.
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