In-Depth Report: The Medical Billing Insurance Specialist Role

This report provides an overview of the Medical Billing Insurance Specialist role, outlining the job's responsibilities, required skills, and potential challenges and rewards. It begins by stating the aspiration to work as a Medical Billing Insurance Specialist, noting the average salary in the United States and the factors influencing it, such as certifications, education, and experience. The report emphasizes the need for skills such as research, reviewing, and analytical abilities, as well as a solid understanding of physician diagnosis choices, data entry, communication, and technology proficiency. Practical experience, ideally one to three years in a medical office setting, is also highlighted. A typical day involves collecting referrals, following up on unpaid claims, and reviewing and transmitting claims, requiring effective communication with insurance companies. The nature of the work is multifaceted and demanding, requiring professionals to handle work pressure while ensuring service user needs are met and maintaining effective communication with insurance companies. Key challenges include collecting full copays, staying updated with coding, dealing with incorrect claims, and managing claim rejections. Despite these challenges, the report concludes that the career is rewarding because it helps claimants receive successful claims and access effective healthcare services without financial concerns. Desklib offers similar solved assignments for students.

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Table of Contents
Introduction.................................................................................................................................................3
Job title I would like to apply......................................................................................................................3
Salary..........................................................................................................................................................3
Required skills and education......................................................................................................................3
Required experience....................................................................................................................................4
A typical day as Medical billing insurance Specialist..................................................................................4
Nature of work............................................................................................................................................4
Type of environment...................................................................................................................................4
Challenges...................................................................................................................................................4
Rewards.......................................................................................................................................................5
Conclusion...................................................................................................................................................5
References...................................................................................................................................................6
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Introduction
The demand of health and social care services [HSC] is constantly on rise, along with drastic
increase in demand ofhealth care services due to rise in aging population. This has opened the
venue of different sectors of operation in HSC arena.
Considering this fact, focus of the present write-up would be on the job title that I would like to
opt for in the professional field of working and the required skills for the particular job profile.
Job title I would like to apply
Considering the educational choices that I have made for myself and the choice of Associates
Degree in Medical Billing and Coding as my major paper, I aspire to apply and perform under
the job title of- Medical billing insurance Specialist.
Salary
In accordance to the situation of 2019, average salary of Medical billing insurance Specialist in
the United States is $40,284. Hence, usually the salary range is within $37,485-$44,052.
However, the salary range is largely dependent on various factors like certifications, education,
experience in the field and additional skills (Salary.com, 2019).
Required skills and education
In order to perform the job role in an effective manner educational, qualification that is required
is coding or medical billing degree or participating in a certificate program. In addition to that,
skills and experience is integral for succeeding in the chosen profession. This makes it essential
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to acquire skills like conducting research, reviewing and analytical skills (Moisio, 2010).
Understanding of physician diagnosis choices is also required. Skills like data entry trying,
communication skills along with enhancing skills associated with use of technology are also
required, on the part of the aspiring professionals (Fordney, 2013).
Required experience
In order to succeed in the field of working, having minimum experience in the arena of working
is usually preferred. Usually a minimum of one to three years of experience of working in a
medical office setting is usually desired. Apart from that, hand-on experience with the help of
interning or temping in an office of medical insurance billing is also appreciated (Hicks, 2018).
A typical day as Medical billing insurance Specialist
A usual day of a Medical billing insurance Specialist would involve collecting referrals and pre-
authorization as required for the procedure, following up on unpaid claims. It is a multifaceted
arena of working, which also involves duties like reviewing, preparing and transmitting claims,
communicating with insurance companies etc (Blake, 2019).
Nature of work
Based on the analysis of the job duties and responsibilities that are to be performed as Medical
billing insurance Specialist, it is mentionable that the profession is multifaceted in nature,
wherein a professional has to perform his/her duties under extreme work pressure.
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Type of environment
The type of environment in which a Medical billing insurance Specialist has to operate is
challenging which involves a lot of work pressure. The professional has to ensure that service
user’s needs are effectively catered and at the same time ascertaining that communication with
insurance companies is maintained efficaciously. Hence, needs of both the parties are to be
catered (Nc.edu, 2018).
Challenges
While working as Medical billing insurance Specialist, there are primarily 4 challenges that a
professional has to experience, which includes:
 Ascertaining collection of full copays
 Remaining updated with coding
 Dealing with incorrect claims
 Rejection of claims
These are some of the challenges which Medical billing insurance Specialist has to experience on
a day-to-day basis.
Rewards
In spite of the challenges associated with the particular career choice, the fact that, it helps
claimants to receive their claims successfully, get effective healthcare services without financial
concerns, is one of the major rewards of being Medical billing insurance Specialist.
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Conclusion
Hence, in spite of the challenges associated with opting Medical billing insurance Specialist, it is
a career worth to opt for.
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References
Nc.edu. (2018). 5 Benefits of a Career in Medical Coding and Billing. Retrieved from
https://nc.edu/5-benefits-career-medical-coding-billing/
Blake, I. (2019). 5 Most Important Skills to Have as an Insurance Billing Specialist. Retrieved
from https://work.chron.com/5-important-skills-insurance-billing-specialist-9413.html
Fordney, M. (2013). Workbook for Insurance Handbook for the Medical Office-E-Book.St. Louis
Missouri, USA:Elsevier Health Sciences.
Hicks, J. (2018).Medical Biller Job Description and Duties. Retrieved from
https://www.verywellhealth.com/medical-biller-job-description-2317319
Moisio, M. A. (Ed.). (2011). A guide to health insurance billing(3rded.). Boston, United States:
DELMAR Cengage Learning.
Salary.com. (2019). Salary for Medical Billing Specialist in the United States. Retrieved from
https://www1.salary.com/Medical-Billing-Specialist-Salary.html
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