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Understanding Medical Billing Services
By: nybia duarte
Medical billing service is an intermediary between the claimer (the healthcare provider/patient) and the payer (the insurance company). The main purpose of a medical billing service is to provide assistance and professional help to the claimer throughout the billing cycle. A billing cycle refers to the process of filing a claim and then eventually winning it. This includes updating the patient’s personal file with the information such as his or her name, age, nature of illness, diagnosis and the quality of the service provided to that particular patient. The file is then submitted to the payer or the insurance company which then investigates and verifies the claims made by the healthcare provider. Upon their satisfaction, the bill is then settled. The concept of outsourced medical billing is currently growing rapidly. This means that a third party is put in charge of the filing and settling of the claims by the healthcare provider and the patient. This is done due to several reasons such as reducing the operational cost by not having to hire clerical and technical staff, protecting the patient and the healthcare provider from the manipulations that are often practiced by the insurance companies, and to have the satisfaction of hiring a professional to do the job.(read
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