Appeals and generalist clerk vs front office assistant

Differences between appeals and generalist clerk and front office assistant duties and responsibilities

Appeals and generalist clerk example responsibilities.

• Manage orthopedic accounts regarding payment posting through IDX medical systems.
• Conduct quality control, requiring strong knowledge of the CM/ECF pro- gram.
• Research and appeal denials with correct coding (ICD-9, CPT, modifiers, etc . )
• Collect, verify, update and register patients demographics and insurance/ medical coverage information in accordance with the guidelines.
• Verify Medi-cal and additional government plans prior to patient attending appointment.

Front office assistant example responsibilities.

• Manage correspondence and documentation for OSHA compliance and hold some accounts payable responsibilities by coding invoices for processing and payment.
• Ensure compliance with HIPAA and OSHA regulations to improve customer relations and promote favorable patient/physician interactions.
• Download all transcription for the physicians and mail out letters and patient consults.
• Utilize knowledge of ICD-9 and CPT coding by verifying explanation of benefits render to patient, for insurance purposes.
• Collect co-pays, enter update demographics into EHR/EMR, enter ICD-9 and CPT codes as needed into patient records electronically
• Verify insurance to include commercial and Medicaid.
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