Who is Medical billing specialist

Medical billing specialist?

A Medical billing specialist is the one who is handling the following processes and has a broad knowledge of each and every process.

Skill set needed for Medical billing specialist.

1. Computer skills which need to handle multiple software.
2. Office program skills - It will useful when you handling the reports
3. Communication skills - The person has to do talk with many people from client,insurance and patient in order to the claim processed.
4. Grasping power - to know about latest rules from insurance.

Process involved



1. Insurance verification process.
2. Patient demographic and charge entry process.
3. Submitting the claims by electronic as well as paper method. Tracking various claim submission report.
4. Payments posting process for insurance as well as patient.
5. Denial management.
6. Insurance follow-up management.
7. Insurance appeal process.
8. Handling patient billing inquiries.
9. Patient statement process.
10. Preparing monthly reports such as revenue report and account receivable report and as per the provider requirement.

Medical Billing Specialists are in charge of reviewing patient charts and documents. They prepare and review all medical insurance claims based on the rules and regulations of insurance companies. Medical Billing Specialists also review insurance communications, payment and rejection notices to properly track all claims and payments.

Not every person can be called a Medical billing specialist. He must be a responsible person for each and every claim. He has to have the total control of a particular provider or practice billing process such as charge entry to till the insurance or patient paid that claim.

Earning Opportunity

As far as your earning opprtunity, this is based on your experience and knowledge. Medical billing specialist can get paid at least $20000 to $40000 per year which is a very good amount compare to any other profession.

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