medical billing process

1. Medical Billing in 6 Steps
01
Charge Entry &
Patient
Verification
.InsuranceContract
Verification.
Entering Patient’s
Demograaphics and medical
records.
02
Coding Process
The Coder retrives the
medical records and
demograghics and does the
coding part and resends the
data back to the charge entry
team.
03
Claim Submission
The electronic claim is
submitted to the Insurance
Payers.

2. 04
05
AR Denials
The AR Team takes follow ups
from the Insurance Payers
over the call & chat to gert
the claim approved.
The Compliance team works
along with AR Denials team to
ensure that the rejection rate
is below 9%.
06
Reports
The Reports are generated on
weekly and monthly basis and
sent to providers and
management team.
.
Payment Posting
The Payment Posting Team
post the payment recived
from the Insurance Payers.
Forward the rejected claims
to AR Denial Team.