Group billing coordinator vs referral coordinator

Differences between group billing coordinator and referral 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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Referral coordinator example responsibilities.

• Establish rapport with all PCP offices, hospital personnel, and manage care representatives.
• Ensure CPT and ICD-9 coding are accurate and complete according to AMA's guidelines and for third party intermediaries.
• Contact medical insurance companies and provide ICD-9 diagnosis and CPT procedure codes for patient's illness, condition or injury.
• Apply ICD-9 and CPT-4 codes to complete referral requests online or via fax.
• Conduct the entire office's EHR process and create a system to track old and new patient's records.
• Incorporate core organizational values of quality, respect, integrity, partnership, and compassion in all activities and decisions.
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