Medical Billing And Coding – How Much Money Can I Make As A Medical Insurance Specialist?

A medical insurance specialist is an expert on both medical billing and medical coding. It’s not necessary to get your education and or training in both of these fields. In fact most people don’t. They specialize in billing or coding but usually not both. In terms of salary or how much money you’ll make in either field you may make just as much if you focus on just one of these fields.

In fact it will cost a lot more money to get the education or training you need if you do try to enter both fields. If you’re lucky enough to work into or be hired for a job in either medical coding or medical billing without having to get any advance training or education, you’ll likely only be working in one field or the other. Most insurance claims, when they come to the billing department, have already been coded in the coding department which may or may not even be in the same company.

Whether you end up working as a medical insurance specialist or a medical biller or medical billing specialist or as a medical coder, there are a number of different titles that can indicate working in those departments. When you scan classified ads you’ll see a broad range. Most will indicate the type of work involved. Many or most, do not require any certification.

How much money you make or in other words how much of a salary or hourly rate you can expect will depend a lot on a few factors – how much experience you may already have for example. If not directly in medical billing or coding you may have experience in related departments that will count somewhat. In other words also — how long you were working in those previous positions.

Another factor will be how much directly related training or education you have had in billing, coding or both.

Medical insurance specialists, medical billers and coders work in many different types of companies, including hospitals, large health clinics, insurance companies, large dental clinics etc. Your salary or wage will depend on what type of company you’re working for also.

Another important factor is where you live. If you live in a large city you likely will be able to get a higher salary than in a smaller city.

Again all these factors will have a big bearing on how much you’ll get as an hourly rate or starting salary. Of course you don’t always want to work at a company just because it pays the most. There are other factors to consider such as how long of a commute you will have to make etc.

Make sure to do a lot of research before you sign up for any college or online courses in medical billing training or medical coding training. Know what your local colleges have to offer either on campus or online or both. Compare call costs. Scan the ads so you know what is offered already and make a few calls and ask questions about the job and salary. Check out the free federal money offered for online courses too. The more research you do the more you’ll learn if this field is right for you.

Health Insurance Tips – Getting Free Professional Medical Insurance Consultation

Are you looking for free professional health insurance consultation? If yes then you are advised to shop around online websites having this service in mind when shopping.

It is true that many people do not take going for regular medical checkups seriously. A lot of people simply believe that they are fine health wise since they are not having signs of illness on their bodies.

It is good to feel and look healthy; it is better to know that your health is covered should any unwanted development occur. This makes it very important for you to insure your health.

There are many providers out there; most of them have online platforms while others are insurance brokers. Do not stop at the first provider or agent you come across while gathering health insurance quotes from providers; search for more, you may get a good that you can afford considering your income.

There are many experts of health insurance and they are ready to offer you quality information that will help you get your desired health cover deal. Go online, there are many providers on the internet and you will also get a lot of free quotes from leading providers of health insurance nationwide. This will make it easier for you to compare rates and select the right provider to purchase the policy from.

Having access to the right provider simply means that you will be getting reliable and trusted consultation from the company. This service should be free!

Be sure to study the company’s terms and guidelines before buying the policy. It is very important that you understand every bit of the information printed on their documents; if you are unsure and need the services of a legal representative to interpret the terms and conditions in the contract document from the health insurance company, you should go and get one.

Where To Get Free Professional Consultation From Leading Health Insurance Companies Online?

Top Ten Medical Insurance Tips

Having health insurance can give you peace of mind, knowing that you won’t have a large financial burden should you have any short-term health problems. These top tips will help you choose the policy that’s right for you, at the best price.

1. It’s never too early to invest in health insurance for you or your family – As a general rule, the younger you are, the lower your health insurance premiums are likely to be. Additionally, when you are young you’re less likely to have developed pre-existing conditions which would be excluded from your policy cover. Even when you’re older, it isn’t too late to sign up for health insurance though, and you’ll still be able to reap the benefits.

2. Don’t skimp on cover – Not having enough health insurance cover could be a false economy, Do some research into how much some procedures cost and ensure you have the necessary insurance.

3. Choice – Look for a policy provider that offers you choice about when, where and by who you’re treated.

4. Check your records – Make sure that your doctor’s records are correct and up to date. Any incorrect information could mean that you end up paying higher premiums or can’t get cover for certain conditions.

5. Assess the excess options – Paying a higher excess fee can be one way to keep your medical insurance premiums low.

6. Shop around – Do your research before you sign up to any insurance policy. Don’t just accept the first quote you’re offered. Experts recommend that anyone shopping for health insurance gets a minimum of three policy quotes before making a decision.

7. Understand the policy – Make sure that you fully understand what is and isn’t covered by your health insurance policy. If you make presumptions without checking the facts, you could get caught out if you become ill.

8. Read the small print – Ask for clarification on anything that isn’t clear and seek independent advice if necessary. Don’t be embarrassed to query anything as it’s important you know what you’re signing up for and that you get the policy that’s right for you.

9. Avoid stress – Conditions such as depression or stress can increase the premium prices and avoiding stress can make you less prone to illness.

10. Be healthy – Leading a healthy lifestyle can help you keep your insurance premiums as low as possible and is clearly just better for you. Cut down on smoking and drinking and watch your weight. Try to take exercise for at least 20 minutes, three times a week.

How to Choose a Group Medical Insurance Plan – The Forgotten Factor

You’ve met with three or four insurance brokers, and all have given you spreadsheets presenting proposals from a number of insurance carriers vying for your company’s business. Most of these spreadsheets, from all the brokers you met with, show basically the same selection of programs.

You go through each plan to understand it as best you can. You even run it by some other employees to get their input. Finally, you make a decision, call the broker to give him the good news, and away you go. The broker? Well, since all the brokers showed basically the same plans, you call the broker that also sold you the property and casualty insurance to your firm.

What have you forgotten?

It’s a problem.

Your new group medical insurance plan has been in force for some time now. Employees come to you at least several times a week with claims problems, benefit questions and complaints.

Your job is NOT to be an insurance expert, so you call the broker that sold you the plan, looking for help. When he calls you back a couple of days after you left him a voice mail, he says he will check into your various questions and get back with you.

The broker calls you back a week later, with some garbled answers that really don’t address the issues. You end up having your assistant call the insurance company’s toll-free number, where she gets passed around to three different extensions, still not getting answers.

The forgotten factor

Go back to the beginning. You spent a lot of time trying to choose the right group insurance plan. But you really didn’t put much consideration into which broker to write the program with. Broker selection was the forgotten factor.

Choosing a good broker is at least as important as which plan of insurance you select.

What should an employee benefits broker provide to you?

The broker will talk to your employees.

Your employees should be able to call your broker’s office with claims problems and benefit questions, and talk to someone who is knowledgeable and will not leave them hanging. Your broker’s office should be a dependable resource to you and your employees.

The broker will talk to the insurance company.

Your broker should do most or all of the communicating with the insurance company for all claims and billing issues. Again, you and your employees are NOT insurance experts. Your broker’s office should be.

The broker will become a trusted advisor.

A good broker will become an extension of the human resources efforts of your company. His office will, by keeping your benefits program efficient and well-serviced, help you hire and keep the best employees. Even more than your accountant and attorney, he and his support staff will become trusted advisors.

How can you choose a good broker?

Make sure that your broker is a specialist in employee benefits. This will not be the broker that handles your property insurance or personal financial planning.

Ask for a list of at least 15 of his local business clients that have used his firm for at least five years, and call these referrals asking what type of job the broker’s office has done for them. If the broker balks at this, or only can give you a few referrals, move on.

Make sure the broker has a knowledgeable and experienced staff. The broker is only one person, and he will often be out of the office. You should ask to talk to the person in the broker’s office who will be handling the day-to-day servicing of your plan. Talk to that person on the telephone and make sure he or she seems competent and will be comfortable to work with.

The broker is often the forgotten factor. And don’t you forget it.

Small Business Medical Insurance and the Impact of Health Care Reform

The Patient Protection and Affordable Care Act (PPACA), otherwise known as the “Health Care Reform Act” was signed into law on March 23, 2010 by President Obama. Most of the initial provisions did not go into affect for 6 months, or September 23, 2010. The bill is a whopping 2000+ pages long, with a 14-page Table of Contents! It’s no wonder that most employers have little comprehension of what is contained in the bill, and less understanding of how the bill will affect their business. To understand the impact of the bill on your business, you should contact a specialist who is an expert on small business medical insurance plans and is familiar with the Act.

In the meantime, we will take a cursory view of health care reform, and a year-by-year snapshot of changes to come. Hopefully, it will provide a starting part for discussion.

The Act contains five key provisions:

1. The requirement for all US citizens and legal residents to have health insurance;

2. Penalties for employers who do not offer health insurance for their employees;

3. State Based Health Exchanges created to offer cost effective insurance options

4. Premium credits for low income individuals;

5. Eliminates pre-existing condition and annual/lifetime benefit limits

A Year by Year Look at Health Care Reform

Some changes went into effect in 2010, such as coverage for adult dependents (dependents until age 26), and several more will happen in 2011. The most significant changes, however, will not go into effect until 2014. Below is a snapshot of key changes that will be going into effect in the coming years:

2011

· No pre-tax reimbursements from “health accounts” for non-prescribed, over the counter medications,

· 20% tax on nonqualified HSA withdrawals,

· Reporting the value of employer sponsored coverage on w-2’s (delayed)

· Automatic enrollment in long term care program, employer may opt out (delayed),

· Drug company fees: $2.5 billion in 2011, $4.2 billion in 2018

2012

· Uniform explanation of coverage,

· Pre-enrollment document sent explaining benefits and exclusions,

· 60 day notice for material modifications, if not provided in uniform explanation of coverage,

2013

· FSA contributions limited to $2,500,

· New federal employer tax, $2.00 per covered individual per plan year

· Medicare payroll tax increase from 1.45% to 2.35%,

· Employer notice to employees of exchanges, premium subsidies, and free choice vouchers,

2014

· Individual mandate – every citizen must have coverage,

· Individual penalties for not purchasing coverage,

· Guaranteed issue,

· State health exchanges effective

· Standard benefit plans, (bronze, silver, gold, platinum),

· Waiting period not more than 90 days,

· Employer penalties for not offering coverage or at least one FTE receives a tax credit,

· Health insurance company fees: $8 billion 2014, $14.3 billion 2018, 2019 prior year amount increased by premium growth rate.

2018

· Cadillac Tax. 40% tax on plans value in excess of $10,200 single, $27,500 family.

Penalties for Non-Coverage

As stated, most of the act’s important provisions will become effective in 2014. The most relevant law for employers is the penalty they will face for non-coverage of employees. The exact penalties are complicated to calculate, base on numerous factors. Some of the basic guidelines are outlined below:

Employers with more than 50 employees:

· If coverage is not offered by the employer and even one full-time employee (FTE) receives a premium tax credit, the employer will pay a fee of $2,000 per FTE, excluding the first 30 ee’s.

· If “affordable” coverage is not offered and one FTE receives a premium tax credit, the employer will pay the lesser of $3,000 for each employee receiving a tax credit, or $2,000 for each FTE. Affordable coverage is defined as an employee cost of health insurance, less than 9.5% of household income and the actuarial value of plan is at least 60%.

· A Voucher will be required if the employee contribution exceeds 8% of household income.

All Employers:

· Employers that offer coverage are required to provide a free choice voucher to employees with incomes less than 400% of the Family Poverty Level (FPL), whose share of premium exceeds 8% but less than 9.8% of their income and who chose to enroll in a plan in the Exchange.

· A Voucher equals to what the employer would have paid to provide coverage under the employer’s plan. Employers providing free choice vouchers are not subject to penalties.

Employers with 200 or more employees

· Required to automatically enroll employees into health plans offered by employer. Employees may opt out.

If the provisions of the health care reform act sound complex, they are! We highly recommend you consult with a specialist who is an expert on small business medical insurance plans and is familiar with the Act. Feel free to contact CPEhr’s benefits specialist with any health care reform questions.

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