Medical billing involves the filing of claims with insurance companies in order for the healthcare provider to receive payment from their patients.
First, a medical coder will generate a superbill which is an itemized form that names each service the patient received. After that, the medical biller sends the superbill to a clearing house where they scrub the form for any issues. Finally, the claim is submitted to the health insurance company; the patient is billed and the healthcare providers are paid for their services.
The process can be complicated and lengthy, as it can take between 50-90 days for the healthcare provider to receive payment. To optimize the process, medical billers can leverage medical billing software that provides a variety of tools and features to help limit the number of billing errors. Prior to an appointment, the system verifies the patient’s insurance information to ensure successful collection of payment. Before you submit an insurance claim, the documents are scrubbed of any errors that could cause payment delays, or in some cases, missed reimbursements.
