Group billing coordinator vs insurance coordinator

Differences between group billing coordinator and insurance coordinator duties and responsibilities

Group billing coordinator example responsibilities.

• Set up, manage, and terminate ACH accounts.
• Work with case managers to obtain ICD-9 and CPT codes for qualify children.
• Perform coding and billing, including: ICD-9 and HCPCS coding for Medicare, AHCCCS, and Medi-Cal.
• Enter ICD-9 and HCPCS codes, file insurance claims (HCFA and UB04) both electronically and paper.
• Supervise daily activities of billing specialist by overseeing and reviewing coding procedures and diagnosis coding using CPT and ICD-9 codes.
• Prepare and submit appeals on deny claims with ADR and letter.
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Insurance coordinator example responsibilities.

• Verify patient dental insurance coverage and limitations with major private and business dental insurance providers as well as Medicaid and Medicare.
• File to record patient demographics in numerous EMR systems and paper charts if applicable.
• Prepare providers and staff for ICD-10 transition.
• Post and reconcile all daily insurance, patient payments and transactions within the EMR system.
• Experience in registration in healthcare, business office and physician billing, with reimbursement and collections.
• Process all Medicare claims, explaining HMO changes to patients in detail and accurately documenting all benefits.
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