Claims collector vs account representative

Differences between claims collector and account representative duties and responsibilities

Claims collector example responsibilities.

• Monitor all assign accounts by reviewing the client's aging, manage all potential bad debit, DSO, aging.
• Operate under HIPPA guidelines for all collection activities.
• Maintain strict confidentiality and adhere to HIPPA policies.
• Maintain high- standards of confidentiality per HIPAA guidelines.
• Review and resubmits denials from Medicaid, Medicare and private health insurance.
• Research and resolve denials and EOB rejections within standard billing cycle timeframe.
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Account representative example responsibilities.

• Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
• Manage the daily correspondence from assign practices with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Manage and maintain an internal database system to generate reports and produce accurate account information for patients and insurance companies.
• Educate physicians to use current ICD-9 diagnostic coding and preparation to begin ICD-10 coding requirements.
• Analyze health care insurance/litigation patient account files to resolve outstanding and delinquent accounts due to the healthcare client.
• Promote ThermoCool SmartTouch ablation catheter device to electrophysiologists.
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