Medical insurance billing and collecting is an integral service that is a part of any dental, chiropractic, medical office and hospital establishment. A medical professional typically is paid in one of three ways, by cash or by insurance or a combination of both. In order for the medical professional to be paid, it must have a medical biller/collector and other office support personnel. For this example, the office will have one medical physician with one biller/collector and one office assistant.
The process begins with the assistant scheduling a patient for the physician. When the patient checks into the ...view middle of the document...
In order for the medical professional to be paid, it must have a medical biller/collector and other office support personnel. This office has three employees; one medical physician, one biller/collector and one office assistant. The process begins with the assistant scheduling a patient for the physician. Once the patient has received services by the physician, they pay their copayment in cash and the biller/collector then bills the medical insurance company.
The process measurement for this example can easily be broken down into small portions. The assistant’s work is paid at a standard hourly wage of $12 per hour. While the medical biller/collector is paid a percentage (30%) of the dollar amount collected. The office rent and machinery are separate as well as the physician services.
An advantage to this measurement process is the ability to immediately identify the productivity of each person in the office. It is truly a team effort where the assistant schedules the patient to get the money into the office. The assistant then collects the initial copayment. The physician provides a service to the patient who warrants compensation and the biller/collector submits a bill to the insurance company for payment.
A disadvantage with this measurement process would be the reliance on the medical biller/collector solely. Only...