Starting a Medical Billing Business > Starting Your Own Medical Billing Business
starting a medical billing business
Pay_My_Claims:
You really nailed it Michele. You may have not been a biller but oh my!! insurance experience is such a key part of the process. Knowing the rules and regulations of insurance especially Medicare, Medicaid, Tricare, and Work comp is essential. Yes the experienced biller does kill us, but her experience doesn't make her qualified. He/she has just been doing the job for a long time and the provider is probably frustrated at the insurance company for low reimbursements instead of realizing his experienced, but not knowledgeable biller isn't doing the job. What I wanted to convey to the poster was don't go into this business just because of what you may have heard on the internet, tv commercial or by word of mouth. I know cosmetology is big business, but I know its not for me. Not only am I not qualified, but its nothing I want to do every day 8 hrs a day. For anyone, find out what you enjoy doing and learn how you can do it and success is at your finger-tips. I love my work, and I know things will happen for me!!
Thanks Michele!!
Michele:
Very true. When we interview to hire we always look for someone who 'loves' billing. You either love it or you don't. There isn't much room in between. :)
Michele
PURPLELADY:
Hi All !!!!
The purple one is back!!! (lol) Now, all we have left to do is the business license and the business
bank acct. I am currently working on the process of how we do business. My question is what should my invoice include when billing the dr for our services? Is it pt name, $ he received from ins co, etc. Also, when picking up the charges from the drs office, should I confirm the amount of charges received before leaving his office? We will be using Paypal merchant services @ 30.00 per mth and 3.1% +.30 for ea transaction. Should we include the transaction fees when billing the dr or is it something we just have to
take? Hope to hear from you soon.
Michele:
Welcome Back! :)
When we invoice our providers we just include the amount owed and any previous balances they may still have. If they want more detailed information I provide them with a report that shows all the transactions for the month including patient names, amounts billed, amounts collected, etc.
For the number of patients that are billed/pd on in a month, I couldn't possibly list all of them on the invoice.
Depending on the size of the office and the format you are given the information, it may be impossible to confirm the charges prior to leaving the office. Some of our offices don't have the charges listed (amounts) on each claim, and it could take you some time to manually add them all up.
As far as the paypal fees, that is really up to you. I personally feel you should just make your fee to the doctor enough to cover ALL of your costs of doing business. I don't like charging a fee for my service, and then a fee for paying for my service, etc. It looks like you're nickel and diming them to death. Just my personal feelings.
Michele
PURPLELADY:
Thanks Michelle, that was good info. Now, I'm trying to get some "order in the campsite". Can you please help me with putting things in order??? I would really appreciate it. Here's our current status... We are going to purchase the ez claim software for 395.00 + 145.00 (for print image format module). We have decided to go with office ally as our clearinghouse. I havent signed with them yet, we are still confirming electronic transmissions between the insurance co and office ally, so far so good. Do I really need both? Office ally charges for submiting claims on paper and sending statements to patients. So I figure ez claim would be good for that along with any reports I'll be sending to the docs. Just how important is that print image format when sending claims to office ally? Do I really need it? Also, should I request the drs info in our contract or use another form for their credentials, facility location, tax id#, etc?
Just to confirm...our billing service info goes in box#33 and ein in box#25 on a hcfa, right? Do you have any good suggestions for marketing and or creating websites? That"s all I have for now. Hope to hear from you soon and THANKS SO MUCH TO MICHELLE AND ALL WHO HAVE ASSISTED ME WITH THIS PROCESS, I REALLY, REALLY, AM THANKFUL. GOD BLESS YOU ALL!!!!
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