Identification should include
- adhering to privacy standards as required by HIPAA
- entering data continuously as patients receive diagnostic tests and treatments
- submitting claims to insurance companies and other third-party payers
- processing payments from patient accounts and insurance companies
- posting transactions and reconciling payments to patient ledgers
- identifying past-due bills and recommending collection actions
- ensuring that a healthcare provider is reimbursed for all services provided
- resolving conflicts regarding payments and reimbursements
- writing reports and providing information to government agencies
- responding, in writing and by telephone, to patients’ questions about billing
- providing information and preparing documents for legal inquiries and litigation.
Process/Skill Questions:
- How are medical coding and medical billing different?
- When would the positions of medical coder and medical biller be combined?