Getting a Brush up on Medical Billing

I already took and completed classes on Medical Billing.


I'm getting my certificate this June from my local
College, I finished my class about four years ago but like a lot of people I need to do a brush-up on this material. What do you suggest?

thank you,

Isabel Reyna

Response:

He Isabel,

Congratulations on getting your certificate.

The best way to get up to speed in medical billing is to get up to speed on the stuff we do on a daily basis. This would be entering ICD and CPT codes and the associated charges and into the practice management software, posting payments and write-offs, verifying insurance eligibility, investigating rejected or unpaid claims, entering patient demographics, understanding insurance write-offs, co-pays, co-insurance, filing primary and secondary claims, creating patient statements, etc.

A basic understanding of coding and medical terminology is very helpful - especially in recognizing when the diagnosis doesn’t match the treatment. I’m sure your current coursework give you a strong background in this.

If you haven’t used medical billing software in a while I would suggest checking out some of the more popular vendors sites and viewing their demo’s Kareo has a lot of demos showing the capabilities of their software that are easy to view and understand - both on Youtube and on their site - as many others do also.

Knowing everything involved with the claim process will also be beneficial - like how to enter all the information on a claim, what all the important info fields are, how to submit it electronically to either the clearinghouse or the insurance company - or print on the paper CMS-1500 form. Knowing where all the insurance and provider ID’s go on the form - either paper or electronically is helpful. Also how to

I would also brush up on - this is becoming more common and those who are familiar with and know how to use it will have a leg up on their peers. EMR software can be a real time saver for medical billing specialists in retrieving info on patients that we used to have to retrieve from paper files.

It’s also helpful to understand the different types of insurers such as Medicare/Medicaid, Blue Cross, Commercial carriers, etc and their fee schedules and different provider contract agreements. You’ve probably have already covered a lot of this in your recent coursework.

Hope this helps - I just tried to think of all the tasks medical billing specialists perform on a daily basis. Anything you can do to get actual real world experience is very helpful. I know that’s easier said than done but if your local college offers any apprenticeship or intern type programs I would recommend taking advantage of them.

Thanks!

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Jan 24, 2013
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What about being out of school?
by: Anonymous

I have graduated with an AS degree in Medical Billing and Coding and was wondering how I could gain experience? At this time, I am unemployed and my membership dues to the AAPC have lapsed. I would like to gain experience in this field but can't even get my foot in the door at the moment. This includes an entry-level position as a receptionist at a local clinic. Any suggestions would be helpful especially since I would like to run my own business.

Thank you in advance,
Melissa W.

May 06, 2012
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APPRECIATE ALL THE HELP
by: Anonymous

Thank you for your help, yes, I believe that if
i just do it I'll remember everything I learn it's
all a matter of having confidence.
I do know all the insurance because I'm an insurance verifier at work, that's what i do for
a living at our local hospital.
I just now work in investing on a software.
Any ideas?
thank you
Isabel

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