Account adjuster vs collections specialist

Differences between account adjuster and collections specialist duties and responsibilities

Account adjuster example responsibilities.

• Manage and maintain an internal database system to generate reports and produce accurate account information for patients and insurance companies.
• Provide assistance regards to trouble shooting, account status, miss invoice and account reconciliation.
• Resolve all invoice and sales order processing issues that relate in amounts due to/from all customers.
• Determine presumptive Medicare and/or Medicaid eligibility.
• Used ACCURINT software to maintain and update files.
• Search Lexus/Nexus Accurint database to locate customer.
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Collections specialist example responsibilities.

• Manage university A/R processes and enforce tuition payment policy.
• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Review denied Medicare and Maine Medicaid insurance claims for accuracy.
• Analyze hospital insurance claims of individual patients for errors and contact major insurance carriers for claims dispute resolution.
• Analyze accounts for patients ineligible for private insurance, Medicare or Medicaid and indicating inability to pay balance.
• Possess effective persuasion and negotiation skills, excellent interpersonal and communications skills with the ability to deliver quality customer service.
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