Billing associate vs account specialist

Differences between billing associate and account specialist duties and responsibilities

Billing associate example responsibilities.

• Manage the submission and reimbursement of claims bill to insurance companies using ICD-9 coding.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Verify correct ICD-9 and CPT codes for a variety of specialties submission of electronic claims to clearinghouse.
• Ensure appropriate medical terminology and HIPAA compliance for all claims entry/online submissions, payment posting, insurance and patient aging.
• Help office transition from patient charts to new EMR system.
• Scan in all documents to EMR routing reports and labs to ordering physicians.
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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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