These staff members, unfortunately, do a very poor job. That s bad for the doctor. Simply put, it gives you a client for your electronic claims processing business. You can do the job more efficiently, more quickly and more professionally. You will put money in the doctor s pocket quicker and cut down on mistakes that cost the doctor.
Improper filing causes a high percentage of rejected claims and delayed payments to providers.
Rejected and re-processed claims directly impact the cash flow position of any medical practice. These denied claims generally require extensive follow-up and resubmitted claims prior to actual payment by the carrier. Office managers or their designees dedicate a major portion of their time to manually processing claims. Insurance claims are submitted to governmental agencies, health organizations and various private insurance carriers which have very specific requirements and regulations. Medical claims processing requires industry specific knowledge on the part of the person who prepares the claim forms.