Medical Billing Specialist

Hire a Medical Billing Specialist

Do you need help with a high volume of claim denials, ultimately affecting the quality and frequency of patient care you can provide? Most medical practices and hospitals miss patient care opportunities because of the overwhelming number of calls they receive, often facing legal issues due to missing emergency calls. If these struggles seem familiar, it’s time to hire a Medical Billing Specialist to handle your billing processes to reduce denied claims, improve patient care, and enhance your bottom line. Finding a diligent and focused medical biller with the right skills is made easy with BNS Solutions. Share your billing needs, and we’ll find, screen, and hire the best fit for you.

Qualities of Medical Billing Specialists

Specialized Expertise – Extensive experience with diverse medical practices and healthcare organizations.
Efficiency – Ensure fast turnaround times for billing procedures.
Compliance-Focused – Adhere to healthcare regulations like HIPAA.
Quality-Oriented – Follow stringent quality assurance processes for billing submissions.
Customer-Centric – Maintain a people-focused approach for faster resolution when interacting with patients and providers

What Can a Medical Billing Specialist Do for You?

According to Equifax, poor medical billing practices have cost doctors in the U.S. around $125 billion each year. The cause is inefficient in-house billing by healthcare providers divided between patient care and administration tasks. Hiring a medical billing specialist to handle time-consuming billing tasks ensures your practice works efficiently. Here are a few tasks medical billers can do for you.

Patient Billing and Collections

The primary job of a medical billing specialist is to generate patient statements not covered by insurance. They maintain strict records of every invoice, follow up with patients to collect outstanding balances, and ensure medical providers retain an excellent revenue stream.

Coding and Claims Submission

Hire a medical billing specialist to prepare and submit insurance claims for medical providers with expert coding to improve the accuracy of claims and reduce reimbursement delays.

Denials Management

Medical claims have a high rate of denials, often stressing patients and healthcare providers alike. Medical billers analyze denied claims to identify patterns, and correct errors when resubmitting claims

Insurance Follow-Up

In the case of denial, a medical billing specialist conducts thorough research to devise the cause of denial and seeks ways to submit appeals to get medical providers paid by insurance adjusters.

Reconciliation

Medical billers reconcile accounts payable and receivable to keep a steady check and balance of payouts and cash inflows to ensure accuracy in monthly transactions.

Reporting and Analysis

Medical billers utilize analytics to generate financial reports, which assist healthcare providers in tracking their revenue and improving their processes for fewer denials and faster payouts.

Physicians

Doctors, surgeons, and healthcare providers need medical billing specialists to process claims. Physicians with private practices can also use BNS medical billing assistants for their billing processes and save costs on in-house placement.

Hospitals and Clinics

There is a greater need for medical billing specialists in hospitals and clinics where patients outnumber medical professionals. These organizations can benefit from dedicated medical billing specialists to speed up claim submission, communicate with insurance companies, and reduce billing errors.

Dental Practices

Dentists use medical billing specialists’ capabilities to reduce claim denials. Dental procedures are expensive, and most patients rely on swift reimbursements to afford their care. Since most dentists have private practices, they can hire a medical biller to optimize their billing and reimbursement processes.

Mental Health Professionals

Medical billing specialists are also integral to mental health practices, as they can keep track of all payment information and claims submitted to mental health professionals for insurance and keep all the codes updated regarding diagnosis and treatment.

Medical Equipment Suppliers

Medical billing specialists can handle complicated equipment billing, ensuring proper codes and prices for each piece of equipment bought. They handle insurance claims related to equipment rental, sales, and services to ensure timely reimbursements.

Pharmaceutical Companies

Medical billing specialists in pharmaceuticals are essential for ensuring proper compliance with drug pricing laws. They manage complex insurance claims and track authorization and appeals. They also handle efficient billing for high-cost specialty drugs to improve patient care. Their attention to detail reduces billing errors that lead to revenue loss from pharmaceutical sales.

FAQ's

How much does it cost to hire a medical billing specialist?

While the rates for medical billers vary from state to state, it is a high-demand job with a limited supply of qualified professionals. You need to find the best fit for your medical practice, so you should know what you require from your medical biller. The average medical biller in the U.S. goes $22/hr to $24/hr, more than most medical practices can afford, especially if they don’t have funding.

If you hire a medical biller from BNS Solutions, you will get qualified professionals for as low as $11/hr to $13/hr without compromising work ethic and quality.

What are the duties of a medical billing specialist?

Medical billers help medical providers handle the billing process, from invoicing patients, billing their medical care, submitting claims to insurance companies, and following up on timely payments. They must ensure the accuracy of billing processes, so patients know what they are paying and accurate claim submission to fast-track reimbursements from insurance companies. Medical billers are vital to medical providers to ensure they have enough revenue to maintain their practice. By maintaining a high level of accuracy in their work, medical billers contribute to a positive patient experience and help practices avoid financial losses due to errors or delays.

When should I hire a medical billing specialist?

If your practice constantly struggles to generate revenue and half your money is tied up in insurance claims and denials, you need a medical biller to streamline your billing processes and collection to improve your revenue stream. Many medical providers also handle medical billing in-house, an added burden on your medical staff that cannot focus on quality patient care with administrative duties. Hire a medical biller to help your medical staff manage their workload and give more attention to patient care.

Why should I outsource medical billing?

Rather than handling medical billing in-house, you can quickly get professionals to handle your billing processes to reduce hiring and employment costs. Finding a qualified medical biller requires research, interviewing, skill testing, and then onboarding processes that are time-consuming and expensive. Outsourcing medical billing to a specialist allows you to focus on your practice without worrying about managing another employee or team. Independent medical billers can work with your schedule, scale their services up and down to meet your billing needs and work for far less than your in-house resource.

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