Every time, a doctor, dentist, nurse, or another healthcare professional sees a patient, they provide a service that must be billed for. The service provider will inform a medical coder of what service was provided to the patient. Once the coder receives this information, they will code the service using industry guidelines. Next, a medical biller will step in.
Medical billers play a vital role in the healthcare industry. They are responsible for interpreting medical codes and submitting bills to insurance companies and patients for medical services that have been performed.
The main role of a medical biller is to ensure that the billing of services is properly handled and that the correct individual or company is paid or billed. Some of the most common daily tasks of medical billers include:
- Preparing, reviewing, and transmitting claims using special software programs
- Updating spreadsheets
- Running collection reports
- Following up on unpaid claims
- Reading and interpreting Explanation of Benefits or EOB
- Responding to inquiries by insurance companies