Billing consultant vs senior billing specialist

Differences between billing consultant and senior billing specialist 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.
Show more

Senior billing specialist example responsibilities.

• Manage temporary and internship staff on Medicaid posting project.
• Revamp updating process for ICD-9 codes to ensure that federal/state changes.
• Code all claims interpret in EOMB's from Medicare & EOB from insurance companies.
• Resolve incorrect insurance payments, EOB denials, and any issues with outstanding accounts.
• Review outpatient medical records for abstraction of billable physician services and conversion of those services into CPT codes.
• Process claims reviewing ICD9-10 and CPT codes on to ensure correct submission on HCFA and UB92 claim forms.
Show more