Billing specialist vs accounts receivable specialist

Differences between billing specialist and accounts receivable specialist duties and responsibilities

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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Accounts receivable specialist example responsibilities.

• Manage profitable accounts receivable ledgers for existing and new clientele maintaining accuracy of monies enter to appropriate relate account.
• Perform accounts reconciliations, complex invoice research, statement reconciliations, complex invoice research, statement reconciliation and journal entries.
• Follow company's standard operating procedures in cooperation with Medicare, Medicaid and private insurance providers to resolve billing issues.
• Cash and credit allocation of customer payments in ROSS ERP system.
• Prepare PowerPoint presentations, word documents, letters and spreadsheets while meeting deadlines.
• Reconcile direct billing accounts and adjust product pricing utilizing JD Edwards EnterpriseONE ERP system.
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