Billing service for specialists and larger practices

Private specialists, group practices and clinics that want to outsource billing instead of hiring in-house staff.

A monthly fee, a fee per claim, or a percentage of collections, often with a set-up fee. Reporting and debt follow-up can be priced as extras.

• Strong knowledge of the Medicare Benefits Schedule and billing rules
• Attention to detail and good record keeping
• Professional communication with doctors and practice managers
• Managing and training staff as you grow

• Billing mistakes can cause compliance problems for your clients, so check professional indemnity, cyber and public liability insurance
• Patient data is sensitive. Check your Privacy Act duties, data breach rules and how your systems store information
• If you hire staff, check workers compensation, payroll and super obligations for your state
• Contracts that pay you a percentage of collections need careful wording, so consider getting legal advice
• Large clients can make up most of your income, so watch for reliance on one or two practices

Startup costs are typically around $3,000 to $12,000, depending on your systems, insurance and setup. Monthly revenue is typically estimated at around $4,000 to $20,000, depending on the number and size of practices you serve.

Check professional indemnity, cyber and public liability insurance, and your Privacy Act duties, data breach rules and how systems store information. If you hire, check workers compensation, payroll and super, and consider legal advice on percentage-of-collections contracts.

Useful skills include strong Medicare Benefits Schedule knowledge, attention to detail, professional communication with doctors and practice managers, and managing staff as you grow. Estimates suggest at least around 25 hours a week, depending on your client load.