
Medical billing is the process of submitting claims to insurance companies and working with them to ensure payment for the services rendered by a healthcare provider. It is a very complex process that takes place behind the scenes of medical offices and helps ensure that the medical office is run as a proper business. Since medical billers work predominantly with insurance companies, students can expect to study the medical insurance industry in depth including its history, modern practices and organization. Medical billers also study the special coding procedures which help standardize the billing process. Each service rendered by a medical provider has a corresponding code that makes it easier to conduct business between insurance companies and medical practices, and medical billers must be proficient in these codes to be successful in their jobs. Students pursuing medical billing degrees also may receive training in medical law and ethics as there are a variety of legal and ethical issues that can arise. They also learn interpersonal skills since they often act as the main liaison between patients and insurance companies and are responsible for answering questions and making explanations to both parties.
Schools offering Medical Billing degrees train students on the most up-to-date billing procedures and train them to be medical billers in a variety of settings. Degrees are most often offered at the Certificate and Associate level with the goal of training students to pass the exams necessary to become certified medical billers and/or coders. Since there are so many specialized medical practices in use today, there are a number of specialized certifications that medical billers can pursue including those for work in Surgery, Cardiology, Dermatology, Pediatrics, Internal Medicine, Obstetrics and Gynecology, Family Practice, Pain Management and many more. Students enrolled in coding and billing programs will likely take courses in medical records, medical billing classification systems, fundamentals of billing and coding technology, business law, business ethics, economics, accounting and business management and leadership. Since medical billing is such a business oriented task, some business schools may offer business degrees with a specialization in medical billing.
Due to rapid growth in the number of medical tests, treatments and procedures and increased regulation by health insurance companies, regulators, courts and consumers, the U.S. Department of Labor expects the Medical Billings profession to grow much faster than the average for all occupations over the next decade. According to the National Coalition on Health Care, the U.S. is expected to spend approximately 20% of its GDP health care costs by 2017, which is a major increase from the 17% it spent in 2008. This means that more and more medical coders and billers will be needed throughout the healthcare landscape. Jobs are available in a wide range of private medical practices, hospitals and major healthcare institutions. Some people even start their own Medical Billing practices out of their own home and help smaller practices with their medical billing needs. You can also seek employment as an Insurance and Coding Specialist for private insurance and local, state and federal government agencies or as an Advisor to liability and malpractice companies. As the healthcare situation in this country becomes more and more complex, those who are trained and knowledgeable in medical billing have a great opportunity to break into the industry and advance in a rewarding, challenging and highly important career.