dcsimg

Career Story: Billing Specialist At A Doctor's Office

Billing Specialist At A Doctor's Office

Job Title: Patient Accounts Representative

Type of Company: Medical Specialist Office

Education: High School Graduate

Previous Experience: I started as a clerk, typing medical insurance claim forms when I was just out of high school and stuck with the same business.

Job Tasks: My responsibilities include medical coding of claim forms, electronic submission of claims, posting of patient and insurance payments and adjustments and telephone customer service. Other than submission of these medical claims, I am also responsible for follow-up on unpaid medical claims, re-coding of claims based on physician progress notes and when needed using our electronic medical records system. I occasionally fill in as a receptionist making patient appointments, etc.

A typical day consists of posting the previous day's charges/payments from patients in our computer system. This is where reading over progress notes from the physician helps to make sure that all procedures are billed properly with correct diagnoses. After this is done, any checks that have come from patients or insurance companies are posted to the appropriate accounts. I correct insurance claims that have been submitted incorrectly or processed by insurance companies incorrectly and re-bill the insurance company. In between these duties, I field patient phone calls and answer questions. I also review past-due accounts and unpaid medical claims, send out letters to overdue accounts. We also verify eligibility with insurance companies to make sure patients are giving us their current insurance information and referrals if required by their insurance.

Best and Worst Parts of the Job: The best part of my job is to see payments coming in on claims that I have worked hard to code properly to get the best possible reimbursement on.

The worse part is to have to tell patients that they didn't have the full coverage for services that they assumed they had. Many have hidden deductibles they didn't realize they had.

Job Tips: Learning the ins and outs of medical insurance plans is a must, unless you have a "cheat sheet". Many insurance companies do have them to use as a reference. Attend as many insurance seminars and seminars hosted by your software provider to keep up on the latest procedures.

Additional Thoughts: It is usually a fast-paced setting, but a good one. I thoroughly enjoy working in the medical setting, even though I am support staff and not a doctor or nurse. For the most part, patients are very appreciative of the care they receive and are thankful for the administrative help as well.

Popular Schools offering Medical Records Health Information Administration Programs

quickinfoClick the Visit School Site buttons to go directly to a school's website and learn more about the school and programs it has to offer. School website will open in a new tab. .

Click the Request Info buttons to request more information from a representative at the school

Matching School Ads

Start the next chapter of your life with an Associate or Bachelor degree from Miller-Motte College Online Division.

  • Programs: Electronic Medical Records - Associate of Applied Science
  • Degrees: Associate

As a student at South University, Online Programs, you will receive the same quality instruction, variety of learning options and level of service found at the campus locations.

  • Programs: Specialization in Nursing Informatics (MSN)
  • Degrees: Master
Brightwood College
Chula Vista

About Brightwood College

Brightwood College offers accelerated programs that combine flexible schedules and professional instruction to create a rewarding learning experience for individuals focused on gaining the skills for specific careers. Brightwood College is owned and operated by Education Corporation of America.

  • Programs: Medical Billing & Coding Specialist
  • Degrees: Diploma
American Career College
Anaheim, Long Beach

American Career College (ACC) offers hands-on training that will prepare students for careers in the healthcare industry at three campuses in Los Angeles, Ontario, and Orange County, California.

  • Programs: Medical Billing and Coding
  • Degrees: Diploma
UEI College
Bakersfield, Chula Vista, Encino, Fresno, Gardena, Ontario, Riverside, San Marcos, Stockton

At UEI College, we want you to succeed. We’re like a family and we want you to be a part of it.

  • Programs: Medical Billing & Insurance Coding (10-Month Diploma Program), Medical Office Specialist (10-Month Diploma Program)
  • Degrees: Diploma

You can advance your career with a degree from Charter College Online.

  • Programs: Certificate - Medical Office Administrative Assistant
  • Degrees: Certificate
Platt College
Alhambra, Anaheim, Ontario, Riverside

Turn your talents into a career at nationally recognized and accredited Platt College.

  • Programs: Medical Administrative Specialist
  • Degrees: Associate

Since 1996, Southern California Health Institute has been dedicated and committed to helping students achieve their dreams by providing an exceptional education that enables them to become skilled and successful manual therapists.

  • Programs: Medical Billing and Coding Specialist Program
  • Degrees: Certificate
National Career College
Panorama City

Choosing a school and a new career path can be a very overwhelming process.

  • Programs: Medical Billing and Coding
  • Degrees: Certificate

The University

With over 80 years of academic achievements, Jacksonville University is a traditional, longstanding institution consistently ranked by U.S. News & World Report as one of America's best colleges.

  • Programs: MS Health Informatics, MSN Informatics Specialization
  • Degrees: Master
Matching School Ads

Additional Career Stories for Medical Records And Health Information Technicians

The inside stories from people actually working in the field.
Click a story title to show the story, and click the title again to hide it.

All Types

You are visiting:

Find a school near you

What are Career Stories?

Career Stories are concise, real-world career overviews written by people relating their personal career experiences and wisdom. They provide invaluable insights and mentoring advice to students and career changers.

Most stories include:

  • a typical day or project
  • tips and advice
  • best and worst parts
  • educational background
  • previous experience

Browse hundreds of Career Stories

More Details On This Career

Please also see our detailed information about Medical Records And Health Information Technicians, including:

Back to Top