Billing consultant vs account representative

Differences between billing consultant and account representative duties and responsibilities

Billing consultant example responsibilities.

• Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
• Register incoming patients, verify demographics as well as insurance verification.
• Research and determine the viability of collections on all Medicaid accounts receivables.
• Audit EMR system and correct ICD-9 coding errors.
• Review EOB's, and apply payments to the patient's accounts, making applicable adjustments.
• Contact insurance carrier directly, review eob's, reviewing medical records, denials, write appeals.
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Account representative example responsibilities.

• Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
• Manage the daily correspondence from assign practices with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Manage and maintain an internal database system to generate reports and produce accurate account information for patients and insurance companies.
• Educate physicians to use current ICD-9 diagnostic coding and preparation to begin ICD-10 coding requirements.
• Analyze health care insurance/litigation patient account files to resolve outstanding and delinquent accounts due to the healthcare client.
• Promote ThermoCool SmartTouch ablation catheter device to electrophysiologists.
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