Medical Insurance Biller: Summary of Career Education
Medical insurance billers help hospitals, doctors and other medical facilities obtain payment from medical insurance providers. Billers determine which procedures were performed on patients and then send out medical billing invoices to insurance carriers. Read on for more career and education information about becoming a medical insurance biller.
The U.S. Bureau of Labor Statistics (BLS) showed that workers in the medical records and healthcare information industries, such as medical insurance billers, use patient records to determine what to charge medical insurance companies for services rendered (www.bls.gov). Medical insurance billers input patient chart information into medical billing databases to notate which medical procedures were administered. They calculate the expenses for services and then prepare itemized lists for billing statements and health insurance invoices. Sometimes billers have to submit additional notation to insurance companies if a bill has been denied.
Between 2010 and 2020, the BLS predicted that open positions for workers in the medical records and health information industries would increase by 21%, faster than the average for all occupations. An aging population and their need for more medical tests and the increasing use of electronic health care records should contribute to this growth. During the same decade, the BLS projected job growth of 41%, much faster than average, for medical secretaries.
The BLS reported that most health information technicians and medical records specialists entered the work force with an associate's degree. There are also certificate programs available that train workers to become medical billers. Coursework in medical billing includes medical finance and insurance, medical terminology, computerized medical billing and confidentiality compliance.
Most medical billing certificate and degree programs also teach courses in medical coding. Medical codes are assigned to medical procedures, and these codes are used by medical billing database computer programs to determine reimbursement rates. Medical coders review patient charts and write down the appropriate medical codes that need to be inputted into the system by medical billers. Some medical billers work as both billers and coders, but this varies by employer.
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