Digital Invoicing

6 Tips to Manage Claims and Invoices in the Healthcare Industry

October 5, 2021
Author
Devin Partida

As new technologies enter the market, the health care sector is evolving, and tech can be leveraged to improve patient outcomes, create necessary vaccines and formulate treatment options.

One aspect of health care that can be quite cumbersome is the management of claims and invoices. Efficient medical billing is something every facility tries to achieve, but it comes with its fair share of challenges. Automated invoice processing requires complex software systems with automated PDF document rendering and delivery. You should also verify users' identity to deliver them invoices securely. Upfront payment collecting is another must-have practice to note.

Effective billing is essential to maintain a healthy, stable flow of revenue to help keep medical centers operating smoothly. At its core, health care is a business, and a company failing to collect payments from patients would be a failing business altogether.

Below are six tips health care facility managers can use to optimize and manage claims and invoices. Consider using them to maintain a healthy, profitable business.

1. Collect Payments Upfront

About  77% of providers say collecting any form of payment from patients can sometimes take more than a month. Rather than waiting that long, they should consider collecting payments from patients at the time of service.

Any outstanding balances can put a health care facility at risk, and asking for payments upfront eliminates that possibility. Determine in advance how much a patient owes during their visit, and be sure to let them know their bill will be due after their appointment is completed.

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2. Automate Billing Functions

It can be overwhelming for staff members in health care to manage all patient payments at once. The process of collecting money can easily be automated with the latest technology. Every health care facility wants to provide customer-centric, personalized care.

From the moment a patient walks in, they should feel respected and cared for. By automating any internal billing functions, staff can spend more time focusing on the patients themselves rather than just their payments. To automate invoicing and billing, you will need to implement automated PDF rendering in your systems. Based on custom triggers, it will automatically generate personalized financial documents.

Find out Tips on Creating and Formatting PDF Invoices Programmatically

3. Provide Cost Estimates to Patients

It shouldn't come as a surprise that patients want to know in advance how much they'll owe for a doctor's appointment. Providing a cost estimate ahead of time will allow them to figure out how they plan on paying. It helps keep tabs on patients and how responsible they are with making their payments. You can show this information in a patient's portal or use address data to deliver estimates by mail. Make sure to validate addresses before mailing since PHI must be kept private and end up in the right hands.

By adding a layer of transparency to the medical billing process, patients can feel comfortable coming in for annual checkups or emergency services. Consider providing cost estimates to patients so they're aware of what they'll owe at the time of service.

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4. Maintain and Update Patient Files

It's critical to update patient files to ensure they're on the same page as their health care insurance provider. If a patient's insurance plans change, it could impact their copay.

Keeping patient files up to date can eliminate future hassles when working with insurance companies. It may only take a few minutes to verify what insurance covers — any unpaid claims could be hard to collect as time goes on.

5. Offer Various Payment Methods

Offering flexible payment options for patients improves operational efficiency and gets patients in and out the door more quickly. By saving a credit or debit card on file, payment processes take much less time.

As consumerism makes its way into the health care industry, it's no surprise that patients will want self-service payment options. Whether it's online billing or an in-office kiosk, it could save staff members and patients time in the long run.

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6. Consider Employing a Billing Company

If managing various claims or invoices becomes too much of a burden on health care staff members, it's worth considering using a third-party billing service to take on the extra work.

Medical billing companies are typically up to date on billing regulations and are adept at collecting payments from patients. While not every health care institution can make this option work, it may save time and money in the future.

Read Address Verification for Compliance in Finances

Create Effortless Transactions for Patients

Finding a viable way to manage patient claims and invoices can become challenging after some time. Consider following the tips above to make the billing process more efficient and reduce potential payment errors.

Patient expectations are ever-changing, but it's critical for health care professionals to do their best to meet them. Avoid facing some of the common challenges when managing claims and invoices by following some of the tips listed above.

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The easiest way to automatically generate and manage paperless documents at scale.
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