HELP!!! Am I being dramatic or is admin unrealistic?

[1tiredFQHCbiller]

Hey y'all! I work for an FQHC in Idaho and I need your opinion/advice.

What is a realistic payor-to-biller ratio? Am I being dramatic or are they unrealistic?

My current workload is killing me. I am responsible for the follow-up billing in 13 CLINICS. I do ALL major and minor commercial payors, WC, and MVA (including atty requests for billing). I am constantly interrupted by emails, phone calls, providers, FD staff (reg corrections, eligibility verifications), etc. It feels like I can't get anything done.

Recently I was told admin has concerns about my AR. When I tried to explain why it was high, I was told they could not afford to hire any help, but they would work with leadership on the FD registration errors. I know this will never happen and I’m exhausted!

My knowledge of medical billing/coding is extensive, my work ethic is strong!  What should I do?

[Kerri]

You are DEFINITELY not unrealistic. Holy crap!  Those additional things you mentioned (phone calls, etc) should be covered by a clerical staffer. Receptionist, medical records, etc.  Focus on your billing and ignore the other, maybe admin will get the hint. Or turf that stuff to someone under you. Ask for more money. List what you were hired to do, and the all the extra. If you are doing the work of three people (you are!) then you should get paid for it. When admin says they can't pay, tell them they could save money by hiring someone instead of paying you the extra. If all that doesn't work, look for a new job and let admin know you are and exactly why.