Group billing coordinator vs patient coordinator

Differences between group billing coordinator and patient 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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Patient coordinator example responsibilities.

• Comply with HIPAA regulations by discreetly and professionally handling all patients private medical information.
• Gather personal plus insurance information and perform thorough insurance breakdowns for patients.
• Communicate directly with patients to obtain initial patient information and respond to inquiries.
• Process and update HIPAA relate paperwork and other require institutional forms as necessary.
• Obtain all necessary documentation prior to surgery such as proof of identification, copy of insurance and require insurance referrals.
• Respond in writing to all grievances in accordance with CMS and DNV guidelines.
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