Author Topic: Full Service Billing  (Read 771 times)

williamportor

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Full Service Billing
« on: October 13, 2016, 05:02:00 PM »
Hello - I've recently signed up a chiropractor that wants me to do everything involved with his insurance clients from beginning to end: i.e. Collect the up front payment for the provider, verify insurance coverage,  submit the claim, follow up on any unpaid claims, and resubmit if necessary, Send invoices to the clients (if necessary), subtract my fee, pay the provider any amount owed to him. I'm happy for this opportunity, but have never done it. so...

1. Is it possible to do all of this as an independent biller?

2. How would I set something like this up?

3. How would I collect fees from the patients as co pays, deductibles etc. ? (I live about 50 miles away from this office)

4. Would Excel be a good tool for record keeping?

5. How much should I charge for this service?

Any input would be welcome. I am so thankful to have smart folks like you to talk to!!  :) 

« Last Edit: October 13, 2016, 05:05:24 PM by williamportor »

Michele

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Re: Full Service Billing
« Reply #1 on: October 14, 2016, 11:08:18 AM »
Hello - I've recently signed up a chiropractor that wants me to do everything involved with his insurance clients from beginning to end: i.e. Collect the up front payment for the provider, verify insurance coverage,  submit the claim, follow up on any unpaid claims, and resubmit if necessary, Send invoices to the clients (if necessary), subtract my fee, pay the provider any amount owed to him. I'm happy for this opportunity, but have never done it. so...



1. Is it possible to do all of this as an independent biller?

It may be difficult to collect the up front payment.  Does he have someone that is at the desk that will do that?  You can't be in his office to do that.  Insurance verification can be done but not always prior to the patient being seen unless they collect the information from the patient before the visit and provide it to you.  The rest is certainly doable.  The first two could be, but you have to find out how it would work.

2. How would I set something like this up?
Kind of the same as the answer to number 1.  Does the dr have staff that will be able to provide you with info?  Assist with collecting up front?  We have a DC that we are working with right now.  We provide his girls with a list of patients that are repeat "no pay copay" offenders so that they can hit them up when they come in.


3. How would I collect fees from the patients as co pays, deductibles etc. ? (I live about 50 miles away from this office)
I'm starting to think he doesn't have staff.  If that's the case the best you could do is give him a list of what each patient owes at the time of the visit so that he can collect it.


4. Would Excel be a good tool for record keeping?
Wouldn't you use your PM system?

5. How much should I charge for this service?
It would be similar to what you currently charge your providers except you have to allow extra for the insurance verification.  Don't you currently provide pretty much the same service to your current clients other than the insurance verification?  Collecting the copays up front is really just part of patient billing/collections.  When we are responsible for the patient billing we work with the office staff to make sure patients are paying their up front fees.  This cuts down on having to send out statements.  So really, this isn't anything additional.  Unless he expects you to come in and be there when he's open.  That wouldn't really be feasible.

Any input would be welcome. I am so thankful to have smart folks like you to talk to!!  :) 



I hope that is helpful!
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williamportor

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Re: Full Service Billing
« Reply #2 on: October 19, 2016, 03:18:54 PM »
Thank You.  :)