Medical Billing experts ensure that patients and third-party payers (such insurance companies) receive accurate bills for healthcare providers’ services. Accurate documentation of services and payment for those services require them to navigate a maze of laws, regulations, and patient records.

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Medical Billing Job Responsibilities:

Ensures that provider records are accurate and current
Maintains an eye on applications and gets back to applicants as needed; handles provider credentialing and re-credentialing.
Documents all providers’ credentials, including current state licenses, DEA certificates, malpractice insurance, and more, and keeps them on file.
Maintains documentation of agreements with business service providers
Maintains current knowledge of health plans’ and organizations’ credentialing standards
Maintains accurate records of the expiration dates of all provider licenses and certificates and ensures that they are renewed promptly.
Maintains practice address accuracy for the benefit of health plans, government entities, and others
Examines health plan directories to ensure that provider information is accurate and up-to-date.
Implementing a new provider’s integration into existing electronic health record systems
Overseeing the enrolling procedure for both new and current providers, encompassing EDI, ERA, and EFT.
Making and supervising user-friendly internet platforms for all parties involved