Account specialist vs revenue specialist

Differences between account specialist and revenue specialist duties and responsibilities

Account specialist example responsibilities.

• Cultivate productive long-term relationships with all assign accounts, and manage all reporting and presentation needs for RFP's.
• Manage a portfolio of accounts end to end RFP program execution inclusive of pricing, contracting, process and technology solutions.
• Manage the daily correspondence from assign practices with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Deliver exceptional customer service to hospital accounts and internal sales representatives in accordance to revenue recognition policies and HIPAA regulations.
• Experience with CMS 1500 and UB-04 claims using HCPC/CPT codes as well as NDC codes
• Monitor CMS and real time aux codes.
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Revenue specialist example responsibilities.

• Process account receivables, charge entry, claims, and reimbursement in adherence to Medicare and all HMO guidelines.
• Establish a strong understanding of ICD-9 diagnosis and medical inventory codes.
• Work claim edits to ensure clean claim billing to Medicare/Medicare HMO's.
• Review the complex medical records and accurately codes primary/secondary diagnoses and procedures using ICD-10-CM and CPT coding conventions.
• Initiate appeals and ensure required documentation are submitted in the appeals process.
• Complete appeals when authorization are not obtain and or unusual procedure are performed.
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