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Medical billing is the process carried out by the medical billing clerks in compiling and maintaining records of charges for goods and services at any given health care facility. These billers have the responsibility of ensuring that they contact the necessary insurance company so as to determine what goods and services will be purchased and for how much. For their work to be successful, the use of computer programs is highly advocated for to permit them to carry out calculations of charges and print bills in one step. The computer programs used also act as a safety net because it enables the biller to make verifications of the information, which is entered into records and make any corrections properly before the bill is printed and sent out to patients. Medical billers are also held responsible for dealing with follow up questions from the patients, handling discrepancies or errors, and also ensuring that all billing records and accounting documents are preserved in a better and a safe place (Coslick 56). Medical billers may sometimes work as part timers or full time employers depending on the kind of the employment. This kind of work requires a person to be highly organized, pay close attention to details, have a better analytical skills and knowledge, and have the potential to work well under pressure. Medical billers work in various health care settings such as hospitals, outpatient clinics, home health agencies, insurance agencies, long term care facilities, consulting firms, government agencies, in doctor's offices, and private industries.

1. Comparisons

Medical billing is well explained as the exercise of management and a doctor's way to getting paid. Most of the doctor's offices have an order that payment needs to be made at the time when medical service is being administered so that the billing process may be minimized. However, all medical offices have the requirement to keep patient's financial accounts and for collecting money. All the medical billers whether working in doctors office or in a hospital work for about forty good hours on a desk in the billing office or billing sector  of the professional health care office from Monday to Friday. They have the duty or the responsibility of having an understanding of the different collection approaches, ethical and legal implications, have the knowledge of different approaches of billing patients, and possess well working skills of medical terminologies, anatomy, medical billing and the completion of claim forms. Both medical billers working in a doctor's office or in a hospital are supposed to  understand how to manage database,spreadsheets,electronic mail, and also possess state of the art word processing and accounting skills, have knowledge in bookkeeping, and generally be in position to type at a speed of at least fifty words per minute. Their working areas are always separated away from the patients and from the eyes of the public. They are also supposed to possess excellent customer care services skills as they make contact with patients, insurance companies, and other clients, despite the fact that they are not completely involved in the real process of doctors and health care professional offering medical care. Generally, medical billers must be in position to explains charges, deal with criticism, provide and receive feedback, be assertive, and communicate effectively without being confused by questions asked by the client (Iyer 12).

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2. Working in a Doctors office as a medical bill versus working in a hospital as a medical biller

Medical billers however, have different working schedules, for instance, working in a doctors office requires one to work the same as the doctor including weekends, nights, and even during the holidays since most hospitals work on a twenty four hour schedule. Also working in a doctors office requires one to be more careful and keen on details and the billers in the doctors office are often trained on the usage of codes because in most cases they interact with lab testing facilities that the doctor may chose to use. Working in a hospital needs high credential and the pay is better and the benefits are many, whereas working in a doctor's office the pay may sometimes be lower and quite tiresome. This is because most of the expenses in the doctor's offices are reduced due to the freeing up of time on the office staff (Shea 90).

3. Advantages and disadvantages of working in a doctor's office versus working in a hospital

Medical biller in a doctor's office is enabled to focus more on the patients and their health. This makes it easier for the doctors to provide the best health care for their patients without being distracted by the mundane and sometimes unpleasant duties related  with various insurance filings of the patient's account. The billers in the doctor's office also have a chance to address the patients or the clients concerns and hence give the best medical advices as required.

4. Conclusion

Medical billing is the process carried out by the medical billers in compiling and maintaining records of charges for goods and services at any given health care facility. These billers have the duty of ensuring that they make contact with the necessary insurance company so as to determine what products and services will be bought and at what price. They are responsible for explaining the benefits provided by the insurance companies to their clients, play important role in bookkeeping, and other special administrative duties such as dealing with day to day medical billing procedures, and making a follow up for the billing process.

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