Accounting representative vs billing representative

Differences between accounting representative and billing representative duties and responsibilities

Accounting representative example responsibilities.

• Review and verify invoices and administer check, ACH, and wire payments.
• Submit claims; re-bill claims, adjustments claims, and collections from Medicare, Medicaid and other commercial insurance payers.
• Balance ACH debit exception report, ACH credit exception report and share draft non-post report and enter corresponding general ledger entries.
• Submit claims to Medicare and Medicaid utilizing IDX system for electronic processing.
• Prepare daily reconciliations of policy relate cash receipts and disbursements and suspense accounts.
• Resolve errors by resubmitting correct or unacknowledge claims, medical records, appeals and other documentation require for timely payments.
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Billing representative example responsibilities.

• Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Process orders in compliance with Medicare, Medicaid and private insurance verification guidelines; confirming customer's eligibility and insurance coverage.
• Verify insurance eligibility for schedule appointments, and verify cash pricing for private pay patients who request cost by CPT code.
• Submit and receive Medicare and Medicaid claims electronically on a daily basis.
• Utilize extensive computer skills and coding knowledge to produce and submit physical therapy and occupational therapy claims through medicaid and medicare.
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