Billing associate vs collections coordinator

Differences between billing associate and collections coordinator 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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Collections coordinator example responsibilities.

• Plan and conduct sensitive HUMINT collection operations with an emphasis on managing and debriefing confidential sources.
• Manage accounts receivable/payment, insurance billing and follow-up for a solo physician clinic, and direct communication with patients regarding bills.
• Audit outstanding accounts and resolve any balances including calling Medicare, Medicaid, government, private or commercial insurances.
• Perform daily follow-up on Medicare, Medicaid, workers compensation and commercial insurances.
• Hand illustrate fully render with marker and colore pencil sketches and Photoshop render drawings.
• Submit insurance appeals and provider disputes when necessary.
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