Check out clerk vs receptionist/billing clerk

Differences between check out clerk and receptionist/billing clerk duties and responsibilities

Check out clerk example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Import charges from EMR to practice management program.
• Key charge batches into IDX SmarTerm TES system.
• Add insurance demographic information to patient files using NextGen system.
• Answer phones; provide pertinent information to patients regarding insurance and other pertinent information.
• Verify patients' benefits and acquire necessary referrals and authorizations to minimize rejection of insurance claims.
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Receptionist/billing clerk example responsibilities.

• Assist office management and staff with administrative projects/responsibilities such as managing time-sensitive projects, filing, copying, and collating materials.
• Obtain and track all insurance referrals for patients with HMO products.
• Coordinate in-processing of all patients, to include accurate insurance information and payments are entered correctly into office computer system.
• Move from SNF billing to HMO outpatient billing and keep a large alpha current.
• Maintain confidentiality and adherence to HIPAA guidelines.
• Develop effective billing strategies for Medicaid recipients according to HIPPA rules and regulations.
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