Patient Registration
Medical billing services often begin with the process of patient registration. This involves gathering and verifying patient demographic and insurance information.
Insurance Verification
Verifying a patient’s insurance coverage, including checking the policy details, coverage limits, and co-pays, to ensure accurate billing.
Charge Entry
Medical coders assign appropriate codes to the services and procedures provided to patients. These codes are then entered into the billing system.
Claim Submission
Submit claims to insurance companies electronically or via paper, ensuring that all necessary documentation and codes are included to support the claim.
Claim Follow-Up
Monitoring the status of submitted claims, identifying and addressing any issues or denials, and resubmitting claims if necessary.
Payment Posting
Recording payments received from insurance companies and patients, posting the payments to the appropriate accounts, and reconciling any discrepancies.