Account representative vs business representative

Differences between account representative and business representative duties and responsibilities

Account representative example responsibilities.

• Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
• Manage the daily correspondence from assign practices with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Manage and maintain an internal database system to generate reports and produce accurate account information for patients and insurance companies.
• Educate physicians to use current ICD-9 diagnostic coding and preparation to begin ICD-10 coding requirements.
• Analyze health care insurance/litigation patient account files to resolve outstanding and delinquent accounts due to the healthcare client.
• Promote ThermoCool SmartTouch ablation catheter device to electrophysiologists.
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Business representative example responsibilities.

• Manage customer relations with internal personnel, group administrators, brokers and members as related to Medicare insurance.
• Verify ICD-9 to physician's diagnosis; insure correct CPT codes and level of service are going out on claims.
• Handle incoming calls to investigate and troubleshoot network and hardware concerns that align with company expectations of quality.
• Utilize multiple internal information systems and applications to troubleshoot hardware issues.
• Verify all new and returning patients' insurance coverage and eligibility when reviewing patient registration.
• Obtain and verify accurate and complete patient demographic information, appropriately schedule patients according to center and insurance guidelines.
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