Account resolution specialist vs account representative

Differences between account resolution specialist and account representative duties and responsibilities

Account resolution specialist example responsibilities.

• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Research and resolve complex customer accounts while adhering to department policies and procedures, as well as FDCPA guidelines.
• Resolve outstanding patient accounts by an integrate team dynamic with office administrators, insurance companies and patients.
• Insure office practices are in compliance with HIPAA regulations.
• Review and correction of diagnosis codes, CPT codes and modifiers.
• Advise clients/debtors of necessary actions and strategies for debt repayment while using FDCPA and other government regulations.
Show more

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.
Show more