Insurance assistant vs insurance clerk

Differences between insurance assistant and insurance clerk duties and responsibilities

Insurance assistant example responsibilities.

• Cold-Cal to generate leads for individual life and disability insurance and annuities.
• Analyze Medicaid models, Medicare and HIPAA transaction documents.
• Assign ICD-9 and CPT codes to office visit and inpatient and outpatient procedures.
• Process electronic claims, pre-existing and subrogation investigation, point of service, and PPO and HMO processing.
• Train staff on billing software in regards to CPT codes and pricing, submission procedures, and industry regulations.
• Perform verification of Medicare and Medicaid coverage and limits.
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Insurance clerk example responsibilities.

• Manage front office check-in, insurance verification and certifications from doctors.
• Establish and implement procedures for completion of patient super bills with proper diagnostic coding utilizing ICD-9 and CPT code manuals.
• Maintain patient medical records insuring diagnosis codes (ICD-9) are itemized correctly and name and address of insurance carriers record.
• Schedule and obtain authorization for outpatient procedures for patients via private insurance, worker's compensation, and Medicare/ Medicaid.
• Complete several ICD-10 training courses.
• Perform medical coding with most accurate and descriptive HCPCS code.
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