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need some tips

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Michele:
I hate to get in the middle, but I just half to say that I try to convince the person that was doing the billing, that will no longer be doing the billing, that now they can focus on so much more.  There job is to work with me/us (the billing company) to make sure we (all) maximize the accounts receivable and increase the efficiency of the office.  They will now have time to concentrate on the areas that need work that they never had time for.  Etc etc etc.  I have never had anyone that didn't keep their job, unless there was another reason they should not be there, and not have enough to do to keep busy, and it wasn't a demotion.  There are always some office staff that don't want you there, but it is really not common, once they don't feel threatened.  THat's why it's so important to win them over quickly.  The one's that do have a problem usually have a personality disorder.  But thankfully we know a lot of good therapists for that!

Michele

PMRNC:

--- Quote ---I try to convince the person that was doing the billing, that will no longer be doing the billing, that now they can focus on so much more.  There job is to work with me/us (the billing company) to make sure we (all) maximize the accounts receivable and increase the efficiency of the office.  They will now have time to concentrate on the areas that need work that they never had time for.  Etc etc etc.  I have never had anyone that didn't keep their job, unless there was another reason they should not be there, and not have enough to do to keep busy, and it wasn't a demotion.  There are always some office staff that don't want you there, but it is really not common, once they don't feel threatened.  THat's why it's so important to win them over quickly.  The one's that do have a problem usually have a personality disorder.  But thankfully we know a lot of good therapists for that!
--- End quote ---

That's exactly what I was saying, going around them is simply not the way to go from a marketing standpoint.

Pay_My_Claims:
and I am saying as a BILLER, that it is the job that I want to do. What you don't get is I don't want to be doing filing, referrals etc etc. I had the same experience when I was hired at the Ophthalmologist office. The girl thought I was interviewing for the "front desk" position when I was there to do the billing. Before me, she did check in/out/billing. She had poor customer service and the OPH's AR was TERRIBLE. She couldn't recognize medicaid for Pregnant women so the services were denied since it doesn't relate to pregnancy. When duties were taken from her to me, there was a lot of resentment. Had I come in that office as a Biller and a company came in and took those services away and left me doing medical records etc etc. Even if my pay stayed the same, I would be seeking another job, or at minimal doing what I do now.....starting my own business. I TOTALLY comprehend what both of you are saying regarding working with the staff etc etc. Calling up and being sociable to the person answering the phone is of course good public relations and it can get you into the OM. You are both in agreement but negating to state it clearly, but Michelle has in such a way "the person that was doing the billing that no longer will" convincing them they can do much more. You FAIL to realize that most people that do billing, do it because it is what they want to do!!! I don't comprehend how you can say they don't lose their job when their job was billing and it is now filing medical records????? The girl I work with in the office now is doing the receptionist job along with her other duties. We restructured and what she does now can be done at the front desk so they felt no need to hire anyone. She didn't want that job, she started at the front desk and moved up,now she is back doing it. She didn't lose her job, but she in a sense is demoted. Pay is the same, but job duties have changed. You both own your own companies, and imagine if you had stock, and it was purchased by me. I now own 80% of your business and I don't need either of you as the head of your individual branches. You are no longer owners, but managers..........same thing. Still have a job, its just not what you signed up for.

PMRNC:

--- Quote ---I don't comprehend how you can say they don't lose their job when their job was billing and it is now filing medical records?
--- End quote ---

Because your thinking too much about the "employee" and not about yourself and your business AND also you don't have a clear understanding of the other tasks involved in the practice.. how a practice shuffles the office staff to meed productivity is up to them.. it isn't our job to demote them or move them around.  And if I look at this from someone who is job hunting for a billing position.. right now, in today's job market I'd be lucky to be doing referrals, filling, authorizations, check in's, check out's, appointment scheduling, reporting, audits.. want me to go on? 

I'll say it again.. lol  I"VE never taken anyone's job and I've never had an employee feel like I did or complain about their new found positions because in every practice that I've worked with their productivity, cash-flow and TIME has improved enough to compensate those positions/employees and then some. Another thing is the office morale lifts big time when the billing stress is removed from the office.   

Pay_My_Claims:
wow..........actually I do know what runs an office Linda, we just differ. I AM not focused on the employee as it is I that stated it is not my responsibility to put them at ease, it is the OM's job. I also said it is the OM's job to determine how they decide to restructure the office. I totally agree with the fact that jobs are hard to find and anything is better than nothing, but again you dodge the reality (maybe the politician in you) that jobs are "lost" when Billing Services come in. The EMPLOYEE may not be terminated, but that job is indeed taken away. This is my well stressed, maybe not articulated well point. The people answering the phones are guarding the OM as they may have worked previously where a billing service came in, and they lost their jobs. I don't focus on jobs that may be lost when I come in to market to a business. My business is to obtain that contract, and the OM's job as to how they will deal with the added finances that they have to pay. Again i reiterate that on MANY websites you find Billing Services that advertise how much a company saves by hiring a service as OPPOSED to an in-house biller. I am not in dispute that any company that you have "taken over" may not have fired anyone, but again you miss the point....THE BILLER IS NO LONGER BILLING!!  Am I concerned with that...not really, but would I be if I were working at a facility where a service was coming in....YES. Would I trust the service because they state they are not here to take my position...NO. Why because I am more intelligent than that. If you are billing..what am I to do...Yes I still have a job, but I don't have the job that I wanted or came into the company to do. That is fact and not fiction and nobody can sugar coat that any other way.  I think you are very knowledgeable in this business and can offer a lot of sound advice for new and even old billers like me. Please don't get it misinterpreted, I am very, and I mean very well in tune to the ins and outs of the operations of a medical and dme practice.
I guess I will stand as alone as a Biller who enjoys my job and what I do, otherwise I would not be in business for myself. Maybe the ones in your offices may have been happy to get rid of the billing aspect of it, and that is great, but I won't say that this is the case every time because speaking from my heart as a biller.....I wouldn't be happy with the deal. This still doesn't stop me from marketing myself. Its a dog eat dog world!!

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