Job Title: Medical Biller
Education: BA, Biology, Brandeis University BSN, Syracuse University College of Nursing
Previous Experience: I worked as a staff nurse on an orthopedic floor in a hospital and in geriatrics. After taking time off to raise a family I began doing chemotherapy tracking in an oncology practice.
Job Tasks: I work in an oncology and hematology practice that treats patients with cancer and blood disorders. Although I do not specifically engage in nursing duties, my background in nursing allows me to understand better some of the complexities of the drugs being used as well as some of the other patient concerns. It is a busy practice with many patients who are being treated on a daily/weekly or other routine basis. The insurance companies now require pre-authorization for almost any medication given. As well, the medications are very costly and reimbursement by the patient's insurance does not always cover the cost of the drug. My role requires tracking every patient, the medications they are receiving, the cost and the reimbursement. This ensures that the patient receives his medicine in a timely way and ensures that the cost of the medication is covered so that neither the patient nor the practice incur any unexpected cost. It also ensures that if a drug is not used, it is either available for another person on the same therapy or is returned to the company from which it was purchased. When discrepancies occur, the root of the problem must be identified and the cause must be resolved. I also track referrals for each patient, making sure they are up-to-date and that each visit is covered. In addition, every person in the practice pitches in, whether it is answering the phone, writing a letter or helping schedule an appointment. This practice is truly a team effort.
Best and Worst Parts of the Job: This is a difficult job because it involves close attention to detail and follow-up of every angle. It is hours of sitting at the computer. On the other hand, it ensures that the practice runs smoothly and is cost-effective. And that ensures that the practice is available for patients who need to be cared for and treated.
1. Feel invested in the practice you choose. The practice I work in is focused on quality patient care as the bottom line. What I do ensures the financial stability of the practice but money is not the ultimate goal here.
2. like the people you are going to be working with.
3. Engage in knowing the patient population--it is a great motivator to know you are working to ensure someone's care.
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