Claims collector vs billing representative

Differences between claims collector and billing 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.
Show more

Billing representative example responsibilities.

• Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Process orders in compliance with Medicare, Medicaid and private insurance verification guidelines; confirming customer's eligibility and insurance coverage.
• Verify insurance eligibility for schedule appointments, and verify cash pricing for private pay patients who request cost by CPT code.
• Submit and receive Medicare and Medicaid claims electronically on a daily basis.
• Utilize extensive computer skills and coding knowledge to produce and submit physical therapy and occupational therapy claims through medicaid and medicare.
Show more