Medical Billing Career

By: Craig Thornburrow

Many have found the medical billing career to be an excellent choice for them. This particular position in the industry of health care is a very important one. The professionals that serve on the medical billing panel work to ensure that the medical professionals receive the proper compensation for the services that they provide. This allows the professional medical doctors and their assistants the funding that is necessary to continue in their practices. Here, you will receive a glimpse into this exciting profession. If you have always wanted to take part in the industry that is directly responsible for optimizing the health of individuals around the world, but never found an area where you feel you would fit, this may just be it!

There are many areas of billing in the medical profession. If you have ever had a medical procedure done, or visited a local emergency room, you have probably received an itemized bill that details what it is that you are expected to pay when it came to the many services that you were provided during your visit. Billers that work in the medical profession focus on ensuring that each area of service is accounted for, and compensation is received for each of these services. Some examples of the areas of billing that you will work with as a biller in the health care industry include physician billing, outpatient services, inpatient services, medical equipment, pharmaceutical, home health care, emergency & rescue, and specialized departments just to name a few.

Here is how it works, let's say that a patient came in on an ambulance to a local emergency room with a broken leg. When handling the billing process for this particular individual as a biller, you would be required to itemize at least some of the following services. For example emergency & rescue (the price of the ambulance and services provided in the ambulance), pharmaceutical (the cost of any and all medication that was required in the ambulance as well as in the emergency room), emergency room (the base fee of the emergency room visit, as well as any and all fees required to compensate the medical professionals)

Then you will also need to bill for medical supplies (the cast, and any other medical supplies required to mend the leg), and specialized services (the services such as X-rays to help confirm the break). Once you have itemized the services that the patient received on their visit, it is then your job to determine the prices for those services and bill either the patient directly or the insurance that the patient has.

Those in the medical billing career have to know and completely understand some basic items as they relate to the many medical services provided, as well as the methods of payments that most use. It is ideal that the candidate to this career understands the different types of billing in their state, as well as how medical insurance companies work when it comes to ensuring payment for medical services. State and Federal procedures regarding items of interest such as medical payments, direct payment methods, copayment, and similar terms must also be understood. Coinsurance, and "copayments", but also be included in the spectrum of knowledge for the individual in medical related billing.

If you have always wanted to go into a profession in the medical career, but never could find an area where you felt you would be proficient, billing may be an option. This is an exciting look into this exciting career. If you are ready to jump start your future, the medical billing career may be right for you!

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