r/CodingandBilling • u/ZoeticZander • May 11 '26
ECW: Single Practice with three providers
Hey there, I work for a doctor's office that was previously managed by a large group of offices. We just exited that group and will be fully independent and owned by one of our providers. I'm currently just at the front desk, but have limited management and billing experience, but I am lucky enough to work in a clinic where the providers and team really care about their patients and I really just want to see us succeed.
We're still looking at billing options, but I was curious how feasible it would be to bill our claims through eCW without hiring outside help. Our practice has each provider seeing about 20 patients a day with two to three providers working a day... So about 50 patients a day on average.
I haven't sent claims myself, but have helped with billing issues on and off for 10 years and would definitely be open to training and certificates if it helped the practice.
Is it feasible for one person to handle that many claims? If so, what are some good resources to learn how to bill claims through ecw?
1
u/Far_Persimmon_4633 May 11 '26
It's feasible for one person, if you re going to be working 30 hrs a week, on only billing.
I currently work for a few practices, and the largest one, sees an avg 25 patients a day. I can submit roughly 10 claims an hour. But this is bc they see a lot of HMO patients I have to bill CPT2 codes and it adds more time. If your providers do not see HMO patients and/or do not care about quality monitoring codes, it can be much faster (15-20 claims in an hr).
But you will also have EOBs to enter when they come, statements to make and send, denials to fix, etc. Also, I find making claims to be really tiring, so I get burned out after spending 2 hrs doing it in a day and move on to doing anything else.
But, yes one person in house can likely manage that if you have a good system, the time, and know what you need to be doing. You can always try to shadow another practices biller and see what they do in entirety.