About Us

Medical billers play a crucial role in the healthcare system by managing the financial aspects of patient care. They are responsible for ensuring that medical claims are accurately prepared, submitted, and followed up for payment. The primary tasks of medical billers include:

1. Accurate coding: Medical billers use medical codes to represent the services provided by healthcare professionals. These codes are based on standardized systems, such as the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT).

2. Patient billing: They prepare and issue invoices for patients, detailing the services provided, the corresponding codes, and the associated costs. Medical billers also communicate with patients to answer questions, resolve discrepancies, and collect payments.

3. Insurance claim submission: Medical billers submit claims to insurance companies on behalf of patients and healthcare providers. This involves verifying patient insurance coverage, ensuring the accuracy of the claim, and adhering to the specific requirements of each insurance company.

4. Payment processing: They track and manage the payments received from insurance companies and patients. Medical billers also reconcile accounts and follow up on unpaid or denied claims, working with insurance companies and healthcare providers to resolve any issues.

5. Compliance: Medical billers must stay updated on the latest regulations, guidelines, and industry standards to ensure compliance with laws such as the Health Insurance Portability and Accountability Act (HIPAA) and other federal and state regulations.

6. Reporting: They generate reports for healthcare providers, summarizing the financial performance, outstanding claims, and other relevant information to help providers make informed decisions.

At Medicus Code, we strive for our medical billers to facilitate the financial process of healthcare services for your hospital or clinic, allowing your healthcare providers to focus on patient care. Their work is essential for maintaining the smooth functioning of the healthcare system, ensuring timely payments, and minimizing financial losses due to errors or discrepancies in billing.