Billing associate vs payment processor

Differences between billing associate and payment processor 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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Payment processor example responsibilities.

• Manage and review all incoming discounts and electronic contractual adjustments for accuracy per the negotiated Medicaid and Medicare contracts ;.
• Maintain daily transactions for customer payments and various bank accounts using Quickbooks to track transactions.
• Prepare and print all reports for EDI processing.
• Maintain client customer confidentiality and HIPAA regulations with all data handling and transfers.
• Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.
• Investigate and take corrective action regarding invoices reject by system or through EDI.
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