Charge out clerk vs collections/accounts receivable

Differences between charge out clerk and collections/accounts receivable duties and responsibilities

Charge out clerk example responsibilities.

• Manage front office check-in, insurance verification and certifications from doctors.
• Enter CPT procedure codes and ICD9 codes for billing purposes, enter co-payments and assist with collecting outstanding patient bills.
• Enter and/or update patient demographics and insurance information in patients accounts for physicians and hospitals.
• Handle Medicare, Medicaid and many private insurance plans.
• Enter all require ICD-9 codes and modifiers base on coding guidelines.
• Interview incoming patients or representatives and enter information require for admission into computer.
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Collections/accounts receivable example responsibilities.

• Plan and conduct sensitive HUMINT collection operations with an emphasis on managing and debriefing confidential sources.
• Work accounts receivable for Medicaid verification and payments.
• Work remittance advice from Medicaid ensuring accuracy of payments.
• Research and obtain extensive knowledge of FDCPA debt recovery laws and assist in recovering commercial debt from organizations.
• Communicate effectively with patients, physicians, hospital staff, and insurance representatives to ensure accuracy in claims processing.
• Review claims to determine if process correctly and if necessary, direct patients to contact insurance companies regarding additional benefit questions.
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