hm.... I don't do much extra like that, but I can see how that could happen. If this is something I can "learn by doing", with a few minor stumbles along the way, I'll do it.
The problem with outsourcing for me is, for example: I told this biller when I first contacted her that I have a very small volume and she insisted that many of her clients are small practices. Then you fork everything over and they do whatever. I don't know how to know I can trust a biller. They will give you references of people that never have a complaint so what's the use? Or maybe they are big enough practices that they don't notice a few hundreds of dollars in lost collections.
At least I know how much loss is due to myself if I handle it. What do I need to do to switch the insurers from the old billing company to my office? In the past, the new biller had things changed, but obviously I'll have to do that. Do I have to contact every insurer separately and give the new address/phone number?