Billing specialist vs group billing coordinator

Differences between billing specialist and group billing coordinator 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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Group billing coordinator example responsibilities.

• Set up, manage, and terminate ACH accounts.
• Work with case managers to obtain ICD-9 and CPT codes for qualify children.
• Perform coding and billing, including: ICD-9 and HCPCS coding for Medicare, AHCCCS, and Medi-Cal.
• Enter ICD-9 and HCPCS codes, file insurance claims (HCFA and UB04) both electronically and paper.
• Supervise daily activities of billing specialist by overseeing and reviewing coding procedures and diagnosis coding using CPT and ICD-9 codes.
• Prepare and submit appeals on deny claims with ADR and letter.
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