Billing specialist vs billing analyst

Differences between billing specialist and billing analyst 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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Billing analyst example responsibilities.

• Set up, manage, and terminate ACH accounts.
• Manage multiple contracts including timely and accurate billing of monthly invoices, payment notifications, and reconciliations.
• Use of the CMS website to determine the correct LCDs or NCDs for Medicare claims.
• Master sales, events, and reservations systems.
• Produce month-end reports from IDX for executive staff.
• Prepare provisional invoices for billing after provisional rates are receive from DCAA.
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