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How to Become a Medical Biller

Veethi Telang
Medical billing services are mid-level occupations serving as a liaison between health care providers and insurance organizations. From a career perspective, billing does play an important role. More follows...
A medical biller carries out several billing procedures, collects professional fees for medical and health care services, sends claims to insurance companies, posts payments and responds to information requests. He must have in-depth knowledge of the medical billing process and rules of health insurance companies he deals with in order to work efficiently.
They just organize medical statements, negotiate with collection authorities, respond to queries, and talk to insurance companies on their clients' behalf, so that they're able to answer patient's questions about his health care plans.
It can be assumed from the nature of the job, a biller engaged in the completion of his entire work spans from several days to possibly a month. The interaction details transpiring between the physician and patients are collated in the form of procedural codes.
These codes are transmitted to the insurance companies electronically, which decides the amount of coverage and medical services needed by the patient. For calculation of high value claims the directors of the insurance company inspects the claims and evaluate, the cogency for the payment using sophisticated methods.
Sanctioned claims compensated for a certain amount of the rendered services. The rates for the payment are already determined between the health care institution and the insurance company.
Claims fall under two categories, termed as denied or rejected. A denied claim carries the provision of being reconsidered. A claim is denied when the insurance provider deems the reimbursement unpayable or does not dignify to be paid.

How to Become a Medical Biller with Certification

As a medical biller, he must be fully acquainted with insurance organization norms comprehending the steps involved in claim requirements. Reconsideration for denied claims have to work in tandem with insurance organizations, upholding a good aptitude in maintenance of public relations for smooth transition of collection processes.
A medical biller must be able to appreciate risks arising in accounting policies with the upkeep of professional etiquette and pay attention to the reformation of areas which need improvement by use of available data.

Step 1

For becoming a medical biller, having a certification or a degree may not be a requirement. However, having one will always act as an advantage to obtain a particularly higher position. Therefore, you could check out several schools that provide an all-inclusive medical billing training program.
In the training, your trainers will help you gain basic knowledge of the medical billing and coding procedures, thereby preparing you for your certification exam. Make sure that your training program includes maintaining medical records, filling insurance forms, processing appeals, making credit adjustments, and submitting claims to insurance agencies.

Step 2

Once you're done with your training, you need to take a certification exam administered by the Medical Association of Billers. If your medical training school has offered you a choice to take the exam upon completion of the course, you could take it with the help of your trainers.
For today's competitive medical field, you need to understand the value of certification in your credentials. It will definitely help you stand out in a pool of candidates.

Step 3

After giving the exam and obtaining certification, work in a medical office at any secretarial position to get a hands-on experience of the medical billing process and gain relevant working experience. This will expose you to the real job of a medical biller and coder. Make the most of this opportunity by learning minute details with the help of your peers.

Step 4

Your certification gives you an opportunity to become a medical biller at home. Once you develop the necessary organizational and multitasking skills, you can deal with multiple clients, and carry out the process of billing and coding through the course of day.
The development in electronic billing has made it possible for medical billers and coders to work from home. Handling a revenue cycle is no trivial matter. The essentials of the job requires the necessity of having a certification.
AAPC provides a program for medical billing aspirants fulfilling the needs for abiding to government regulations, payer policies, reaching resolutions for denied claims, and submitting appeals. A CPB certified professional arms the candidate with holistic understanding of insurance designs, payer policies, CPT, ICD-9-CM, and HCPCS level II coding rules.

Pay Scale

Medical billers are high in demand, and they can work in any medical field that interests them. One could choose to be with a medical doctor, a pediatrician, or even a psychologist. Along with such flexibility and job security, salary figures are impressive too. On an average, the starting salary of a medical biller ranges between $25,000 - $30,000.
Those with 5-9 years of experience can easily touch the $51,000 mark. Your home business of medical billing has a potential to fetch you more than $57,000 per year, if you can handle multiple clients at the same time. Note that, your salary varies highly in accordance with the workplace and region you choose to serve in, and years of experience you have.
Expansion in health care has increased the need for quality administrative support, and that's where jobs in the field of medical billing and coding gain importance from. For once, you might think that even doctors and physicians can carry out such processes - why need a biller or a coder for the same?
The reason is, the training of doctors and physicians covers only medicine and health care. Business, accounting, and insurance aren't a part of their curriculum. Hence, for this reason, medical billers and coders are hired in large numbers to successfully carry out the tasks associated with medical billing.