Billing assistant vs billing specialist

Differences between billing assistant and billing specialist duties and responsibilities

Billing assistant example responsibilities.

• Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
• Post insurance payments, explain patient what the EOB is about, collect payments from patients.
• Communicate annual contracting, CPT, and ICD-9 yearly changes to doctor's offices by creation of formal notification.
• Experience with billing systems and practices with CPT coding, ICD-9, and usages of coding for productive billing.
• Bill insurance companies using ICD-9 coding.
• Used denial reason codes on paper & electronic EOB in EMR/EHR software to examine denials.
Show more

Billing specialist example responsibilities.

• Use of QuickBooks to manage vendors' accounts, set up filing system to maintain files and supporting billing documents.
• Manage the daily correspondence with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Use independent judgment, manage and impart confidential information appropriately per HIPAA regulations and company requirements.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Provide additional information/clarification for insurance claims using knowledge of CPT, ICD-9, and HCPCS codes, as well as modifiers.
• Assist staff with proper billing for patients, ensure proper coding using ICD-10, ICD-9 and CPT-4 coding.
Show more