Claims collector vs accounts receivable specialist

Differences between claims collector and accounts receivable specialist 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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Accounts receivable specialist example responsibilities.

• Manage profitable accounts receivable ledgers for existing and new clientele maintaining accuracy of monies enter to appropriate relate account.
• Perform accounts reconciliations, complex invoice research, statement reconciliations, complex invoice research, statement reconciliation and journal entries.
• Follow company's standard operating procedures in cooperation with Medicare, Medicaid and private insurance providers to resolve billing issues.
• Cash and credit allocation of customer payments in ROSS ERP system.
• Prepare PowerPoint presentations, word documents, letters and spreadsheets while meeting deadlines.
• Reconcile direct billing accounts and adjust product pricing utilizing JD Edwards EnterpriseONE ERP system.
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