Hospital Billing - A Complex Task
Hospital Billing Clerk's Must Perform Two Vital Task Daily Employees who perform medical bill claims duties, work diligently to provide accurate and timely billing services.
Mainly, hospital billing clerks remain focused on two critical tasks in order to keep the hospital's doors open.
Such daily task are: Task 1: Billing to Third-Party or Private-Pay Accounts They are two primary ways in which medical services are billed.
One way of submitting a claim would be to bill a third-party governmental or non-governmental payer.
These types of bill claims need particular attention paid to them, and generally require more work.
Specifically, each third-party payer has specific guidelines and procedures that need to be followed.
Therefore, billing staff members must be vary observant and informed on the proper protocol of such medical claims.
If such procedures are not followed, then the medical claim will be rejected and not paid, until such claim is corrected.
The second way in which a claim is billed is to a private-pay patient.
This is due to the fact that some individuals may not have insurance, or if they have insurance, not all medical procedures will be covered.
It then becomes the responsibility of the patient to pay the claim.
Therefore, bill claim staff members must be thorough in their billing with this type of claim as well; mainly by being more detailed in their explanation of charges.
The bottom line is, if a patient does not understand what they are paying, the bill will be delayed or unpaid until such confusion is resolved.
Task 2: Collections or Payment Follow-up All medical bill claim services will include collection and follow-up duties for all payments.
Billing representatives are constantly reviewing all patient account information to determine which accounts need to be addressed.
This is a very important task, as the hospital depends on the cash flow taken in for all of their services that were rendered.
Therefore, such tasks will involve sending statements, past due notices and making phone calls in order to speed-up the collections process.
Mainly, hospital billing clerks remain focused on two critical tasks in order to keep the hospital's doors open.
Such daily task are: Task 1: Billing to Third-Party or Private-Pay Accounts They are two primary ways in which medical services are billed.
One way of submitting a claim would be to bill a third-party governmental or non-governmental payer.
These types of bill claims need particular attention paid to them, and generally require more work.
Specifically, each third-party payer has specific guidelines and procedures that need to be followed.
Therefore, billing staff members must be vary observant and informed on the proper protocol of such medical claims.
If such procedures are not followed, then the medical claim will be rejected and not paid, until such claim is corrected.
The second way in which a claim is billed is to a private-pay patient.
This is due to the fact that some individuals may not have insurance, or if they have insurance, not all medical procedures will be covered.
It then becomes the responsibility of the patient to pay the claim.
Therefore, bill claim staff members must be thorough in their billing with this type of claim as well; mainly by being more detailed in their explanation of charges.
The bottom line is, if a patient does not understand what they are paying, the bill will be delayed or unpaid until such confusion is resolved.
Task 2: Collections or Payment Follow-up All medical bill claim services will include collection and follow-up duties for all payments.
Billing representatives are constantly reviewing all patient account information to determine which accounts need to be addressed.
This is a very important task, as the hospital depends on the cash flow taken in for all of their services that were rendered.
Therefore, such tasks will involve sending statements, past due notices and making phone calls in order to speed-up the collections process.
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