Hello!
So, let me preface this by saying that the office I work for is very…unique. It’s the first clinic I’ve worked at and it’s a specialist. So, lots of billing nuances to watch out for. I’m on the insurance team and I handle the posting of EOB’s, claim follow up (we have a lot of screwy claims) and benefit calls.
Now, when it comes to benefit calls, I know it’s the norm to call the patient’s insurance and double check before any type of proceedure to see if it requires authorization. Also, we get all benefit details lined up so co-pay/co-insurance amounts are figured out. However, we also have a lot of patients calling to see if they are covered – most will actually want us to call their insurance and check their coverage before even coming to see us. Is this a normal practice for other offices? I mean, I’m all for helping people better help health insurance, because it’s confusing. But, I’m finding that I have absolutely zero time to do this and it feels like something I shouldn’t have to do? It’s not really an office policy, it just kind of feels like an unwritten rule at this point.
Also, sorry if this is the wrong subreddit for this!
submitted by /u/amic21
[link] [comments]
Hello! So, let me preface this by saying that the office I work for is very…unique. It’s the first clinic I’ve worked at and it’s a specialist. So, lots of billing nuances to watch out for. I’m on the insurance team and I handle the posting of EOB’s, claim follow up (we have a lot of screwy claims) and benefit calls. Now, when it comes to benefit calls, I know it’s the norm to call the patient’s insurance and double check before any type of proceedure to see if it requires authorization. Also, we get all benefit details lined up so co-pay/co-insurance amounts are figured out. However, we also have a lot of patients calling to see if they are covered – most will actually want us to call their insurance and check their coverage before even coming to see us. Is this a normal practice for other offices? I mean, I’m all for helping people better help health insurance, because it’s confusing. But, I’m finding that I have absolutely zero time to do this and it feels like something I shouldn’t have to do? It’s not really an office policy, it just kind of feels like an unwritten rule at this point. Also, sorry if this is the wrong subreddit for this!
submitted by /u/amic21 [link] [comments]Read Morer/HealthInsurance