Guide to Medical Billing CHAPTER Third Edition Introduction to Medical Billing 1

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Function of the Medical Biller Bill and collect revenue generated by patient care –CRUCIAL to cash flow in the medical office

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Responsibilities of the Medical Biller Complete claim forms Correspond with patients Manage office supplies Handle minor accounting

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Scope of the Medical Biller’s Duties Depends on size of the office –Larger offices may have multiple personnel –Smaller offices may assign more of these duties to medical biller/receptionist

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Common Duties of the Medical Biller (1 of 3) Billing insurance carriers Billing patients Performing basic accounting

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Common Duties of the Medical Biller (2 of 3) Handling collections Greeting patients Answering office phones Scheduling appointments

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Common Duties of the Medical Biller (3 of 3) Maintaining/updating patient files Filing files Retrieving files Ordering office supplies Keeping current on software programs

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Members of the Medical Team Provider Clinical staff Front office staff

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Responsibilities of Team Members (1 of 3) Medical Assistant –Assisting provider with patient care –Sterilizing equipment –Preparing rooms –Preparing patients for exams –Administering injections

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Responsibilities of Team Members (2 of 3) Receptionist –Answering phones –Greeting patients –Checking in patients –Preparing patient records –Making appointments

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Responsibilities of Team Members (3 of 3) Office manager –Supervising staff –Handling day-to-day operations –Scheduling staff –Preparing payroll –Managing office expenses

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Employment Opportunities for Medical Billers (1 of 2) Provider offices Billing companies Hospitals Health maintenance organizations Durable medical equipment providers Anyplace that provides medical services

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Desirable Interpersonal Skills of the Medical Biller (1 of 2) Place company ahead of yourself Be willing to admit when wrong Speak well of others Show interest in what others say Give credit where credit is due Compromise

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Desirable Interpersonal Skills of the Medical Biller (2 of 2) Provide solutions and take responsibility Introduce yourself to new people Build networks Smile and be positive Keep personal problems to yourself Avoid gossiping

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Actions to Avoid While on the Job (1 of 2) Having loud phone conversations Neglecting to say please and thank you Talking behind someone’s back Asking someone else to tell a lie or to be dishonest Asking someone, especially a subordinate, to do an errand that is not work related

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Actions to Avoid While on the Job (2 of 2) Telling offensive jokes or making sexist or politically incorrect comments Complaining about another person Being condescending toward others Using work time for personal Internet use

Guide to Medical Billing, Third Edition Sharon Brown Lori Tyler Certifications for Medical Billers Certified Professional Coder (CPC-A) Certified Professional Coder (CPC-H) Certified Coding Associate (CCA) Certified Coding Specialist (CCS) Certified Coding Specialist-Physician (CCS-P) Certified Medical Manager (CMM)