Charge out clerk vs medical billing clerk

Differences between charge out clerk and medical billing clerk 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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Medical billing clerk example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Interact with patients as part of the quality assurance process (follow-up, EHR confirmation, billing confirmation).
• Reconcile insurance and patient payments while researching and resolving incorrect payments, EOB rejections, and assort issues with outstanding accounts.
• Utilize medical terminology and follow HIPAA guidelines.
• Bill Magellan through Nextgen system.
• Double checked CMS-1500 form before posting it out to the insurance companies.
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