Billing manager vs billing specialist

Differences between billing manager and billing specialist duties and responsibilities

Billing manager example responsibilities.

• Manage, extract, and process EHRs by request.
• Manage the clinical staff payroll, the coding, authorization, and the billing of PDN, HHA and DME claims.
• Manage point-of-service collection functions to improve customer service and increase revenue for clinic and surgery centers.
• Manage preparation and maintain analysis by divisions to include CPT fees, Medicare reimbursement and contract reimbursements.
• Credential providers with Medicare, Medicaid and commercial carriers.
• Approve and post all A/R adjustments via PeopleSoft.
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Billing specialist example responsibilities.

• Use of QuickBooks to manage vendors' accounts, set up filing system to maintain files and supporting billing documents.
• Manage the daily correspondence with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Use independent judgment, manage and impart confidential information appropriately per HIPAA regulations and company requirements.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Provide additional information/clarification for insurance claims using knowledge of CPT, ICD-9, and HCPCS codes, as well as modifiers.
• Assist staff with proper billing for patients, ensure proper coding using ICD-10, ICD-9 and CPT-4 coding.
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