Medical billers, coders: Navigating insurance claims takes skill and persistence - Chicago Tribune
By Erinn Hutkin
While she's not directly involved in patient care, Lynn Ellis still plays a vital, and rewarding, role in helping people when they visit the doctor.
An insurance accounts-receivable specialist who deals with medical billing and coding for Women's Group of Northwestern, Chicago's first all-female medical practice, Ellis helps patients navigate the complexities of health insurance so they can focus on their health issues and care for their newborns.
"I enjoy the sense of accomplishment," said Ellis, 44. "This career presented an opportunity to work in the health care industry without having to perform clinical work. It was ideal for my personality and skills."
Medical billers submit claims to health insurance companies, post payments and make sure claims are properly billed. Coders focus on verifying billing codes to ensure they're correct so proper payment is made to the health care provider.
Ellis concentrates on unpaid and denied medical insurance claims, working to get them paid. The issue may be a billing or coding error, or another issue related to a patient's particular coverage, she noted. When problems are not properly resolved, Ellis may write an appeal to the insurance company.
"The job requires me to draw on many different skills, but I primarily rely upon my math and communications skills to be efficient and effective," she said.
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