Claims account specialist vs senior account specialist

Differences between claims account specialist and senior account specialist duties and responsibilities

Claims account specialist example responsibilities.

• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information with insurance and financial information
• Review HMO insurance vouchers and resubmitted if necessary.
• Utilize excellent communication and negotiation skills to resolve credit card delinquency favorable to company and card member.

Senior account specialist example responsibilities.

• Manage accounts while providing excellent customer service, help build financial relationships, redirecting calls in upselling credit per customer needs
• Educate and understand Medicare policies and guidelines for qualifying perspective patients.
• Create team PowerPoint presentations for team meetings.
• Provide customers with HIPPA forms and rules and regulations.
• Submit primary and secondary Pennsylvania and Ohio Medicaid claims online thru PROMIS.
• Know all laws including hippa call recording disclosures, credit card laws etc.
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