Account resolution specialist vs collections/accounts receivable

Differences between account resolution specialist and collections/accounts receivable 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.
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Collections/accounts receivable example responsibilities.

• Plan and conduct sensitive HUMINT collection operations with an emphasis on managing and debriefing confidential sources.
• Work accounts receivable for Medicaid verification and payments.
• Work remittance advice from Medicaid ensuring accuracy of payments.
• Research and obtain extensive knowledge of FDCPA debt recovery laws and assist in recovering commercial debt from organizations.
• Communicate effectively with patients, physicians, hospital staff, and insurance representatives to ensure accuracy in claims processing.
• Review claims to determine if process correctly and if necessary, direct patients to contact insurance companies regarding additional benefit questions.
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