Account resolution analyst vs account representative

Differences between account resolution analyst and account representative duties and responsibilities

Account resolution analyst example responsibilities.

• Manage daily credit card reconciliations and personally deliver regular cash deposits in a safe and professional manner.
• Initial task are the development of algorithms to identify overpayments of Medicaid claims.
• Evaluate, process, and paid out health insurance Medicaid claims with numerous providers.
• Complete ODAR retro-recovery appeals within a timely manner.
• Review and respond to physician appeals and correspondence.
• Escalate issues with internal business partners for quick resolution to ensure customer satisfaction to maintain health of portfolio against assign metrics.
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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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