How to Start a Medical Billing Business From Your Home

Business Overview:

If you are looking for a lucrative business you can run from your own home, you should consider starting a medical billing business. Medical billing is an online business idea that involves the process of contacting insurance companies on behalf of healthcare providers to facilitate payment of claims to those providers. The healthcare industry is booming, and that trend continues to hold steady whether economic times are up or down. In addition, the aging baby boomer population is adding more and more claims into the system every day. Many doctors’ offices are unable to keep up with the claims and constantly have to stay on top of insurance companies to get paid. This is where a medical billing home business can help. Outsourcing medical billing to a third party allows medical offices to concentrate their efforts on the patients’ care. Many physicians’ office workers are simply not qualified to handle all the finer points of working with different insurance companies. Medicare, in particular, has plenty of rules that can make it difficult to get claims paid. As you can see, this industry is in desperate need of experts to work with medical claims. Starting a medical billing business can turn into an extremely rewarding venture. Once you’re trained—or have hired people to work for you who are—there is no limit to the volume of business you can build. This is a highly scalable business idea. You can start out working by yourself and build it up to a large-scale operation with many people working for you. You can choose to have them work for you in an office or hire them to work out of their own homes. This is a highly flexible business that can suit your needs as a business owner.

A Day in the Life of a medical billing business owner:

A typical day for a medical billing business owner will begin with a check of any new claims. You will enter these claims into your billing software. Next you will need to follow up with insurance companies about previous claims that have not been paid yet. If you receive notification that payment was made to one of your medical offices, you’ll then want to be sure to note that in your software. If you have medical billing personnel working for you, you’ll check their assignments and make sure they are following up properly with the insurance companies.

About Your Customers:

Your customers will be small to mid-sized doctors’ offices needing your services to contact and follow up with insurance companies so their claims can be paid.

What You Need to Start:

• Computer
• Medical billing software

The Good:

• The healthcare business will always be in need of medical billing professionals.
• Start-up costs are low.
• Return on investment is high.
• No previous medical experience is needed.

The Bad:

• If you are not a detail oriented person, it is likely you will not be able to keep up with the claims and the doctors’ offices will not be paid on time.
• Dealing with insurance companies can be frustrating and time consuming.

Resources:

• American Medical Billing Association
• Wikipedia on Medical Billing
• Healthcare Billing and Management Association

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