Medical Billing Forum
Starting a Medical Billing Business => Starting Your Own Medical Billing Business => : midwifebiller July 23, 2009, 04:05:46 AM
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I separated from my business partner in March and have had several months to rethink and revamp the work flow as I re-start on my own. I'd like your input on the division of labor in your billing services. For example, does the same person do the billing, the verifying, the posting and A/R? Or do you have different job descriptions for different people (assuming you have emplyees/contractors). How do you maintain checks/balances and accountability in your companies? This was a huge issue with the previous company and our 20 independent contractors. I'm trying hard to avoid many of these problems as I go into the first round of hiring this week. How do you ladies handle it?
Thanks!
~Kelli
Midwife Billing & Business, LLC
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All of our workers work on site. In most cases they do the entire account, verifying, claims, payments, follow up and patient billing. However, we cross train everyone. You never know when someone will be out unexpectedly. We usually go thru the followup reports when they are completed. They are a good picture at what is going on in an account. I also, as the owner, am not afraid to grab some work once in a while and do it randomly. That's also a good way to see what's going on.
Michele
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I separated from my business partner in March and have had several months to rethink and revamp the work flow as I re-start on my own. I'd like your input on the division of labor in your billing services. For example, does the same person do the billing, the verifying, the posting and A/R? Or do you have different job descriptions for different people (assuming you have emplyees/contractors). How do you maintain checks/balances and accountability in your companies? This was a huge issue with the previous company and our 20 independent contractors. I'm trying hard to avoid many of these problems as I go into the first round of hiring this week. How do you ladies handle it?
Thanks!
~Kelli
Midwife Billing & Business, LLC
Good Questions...I'm new so there is not big Labor issues for me yet, but I am training 2 people. One is the administrative assistant-phone calls, faxing, data entry etc. The other one will be claims follow up/verification. I am the payment poster, reports analyst, claims scrubber, etc. I deal with anything FINANCIAL!! The more it grows, the more cross training will happen and eventually they will be able to the accounts from the rooter to the tooter. I don't know if I want to give them their own accounts to work individually or just have them doing the same job and rotating them forward. The administrative move to insurance coordinator position, the insurance coordinator move up to biller etc and hire as such. I am also leery of having a large company.There is a lot of responsibility getting too large, and overhead can kill you. I know what I can do on my own
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Thank you both for your input. Growing too fast can be a real problem, that's for sure.
Michele--what kinds of follow up reports do you run and how often? When you say "we go through the reports", I'm assuming it's you and the Biller-?
~Kelli
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We run insurance aging reports every 4-5 weeks. We have the worker/biller work them. Then we, Alice or I, go thru and see if the worker/biller did things appropriately. We find that the follow up reports show us alot about how the account is going and how the worker is doing.
Michele
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Michele,
Do you pay your billers hourly or a % of the account they work?
~ Charity
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We currently pay our workers hourly, but we are working on a bonus system based on their accounts. I.E. They keep the receivables 90% under 30 days, or something similar.
Michele
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Thanks, Michele, for your input. I agree aging reports are a great way to keep on top of things--we age all of our accounts every four weeks and send the providers a report. They love these reports and it sure cuts down on the 'panic phone calls'. I have not used the aging reports to check up on the billers, but I think I'll start doing this on a regular basis.
Charity--we work on commission and pay our billers a % for each account. This % is based on a combination of how large/difficult/PTA the midwife and her account are and how efficient/experienced/certified the biller is.
Thanks again!
~Kelli