Medical billing is a payment procedure in the U.S. health system involving a healthcare provider, getting insurance verification from a patient, submitting a claim, paying and settling the insurance claims. The entire process may be seamless but it does entail a lot of hard work by medical billing specialists who must follow a specific set of instructions to do so. All health care providers are required by law to maintain electronic medical records or EMR’s in a secure electronic format. Electronic medical billing, also known as e-MTBS, emr, or emr software, is computerized software that is used by medical billing specialists to make sure all the information provided by the patient and the insurance company is accurately typed, complete and correct.
The process of making medical claims is very complicated. Not only must the patient and the health insurance provider establish an understanding and a good relationship for smooth communication but a medical biller must have a vast knowledge of the ins and outs of the health insurance claims process. It takes an experienced medical billing specialist two years to become certified. During this two year period of learning medical billing, the seller should obtain extensive experience in the field, undergo training and attend seminars to prepare him/her for their role as a medical biller. Medical billing specialists who successfully completed their training and passed the state board exam are required to take a specific set of continuing education courses every two years to keep their licenses current. Medical Billing Specialists are required to complete these continuing education courses because they must know how to perform the various functions necessary for their position.