Billing consultant vs billing and insurance coordinator

Differences between billing consultant and billing and insurance coordinator 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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Billing and insurance coordinator example responsibilities.

• Develop a database to maintain/update all manage care, Medicare and Medicaid fee schedules for accessibility by physicians and administrators.
• Look up for ICD-9 codes charges on a daily basic to verify that physicians post charges.
• Enter new and verify insurance information, putting in ICD-9 codes, correcting location and too late to bill.
• Instruct and supervise support staff in accurate CPT and ICD9 coding for the oncology department of a large medical clinic.
• Research and resubmitted reject claims with correct diagnosis, CPT codes and erroneous demographics for deny charges to insurances for reprocessing.
• Maintain strict patient confidentiality and adhere to HIPAA guidelines/regulations.
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