Insurance biller vs billing specialist

Differences between insurance biller and billing specialist duties and responsibilities

Insurance biller example responsibilities.

• Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
• Utilize ICD-9 and CPT codes, enter charges, and send statements for billing purposes.
• Process monetary transactions, insurance payments and enter into bookkeeping ledgers and monthly statements to patients.
• Submit medical claims for reimbursement on medical services provide to patients by medical provider for reimbursement.
• Code and post hospital and office charges using ICD-9, CPT-4.
• Look up ICD-9 codes to verify if a code has been change and enter.
Show more

Billing specialist example responsibilities.

• Use of QuickBooks to manage vendors' accounts, set up filing system to maintain files and supporting billing documents.
• Manage the daily correspondence with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Use independent judgment, manage and impart confidential information appropriately per HIPAA regulations and company requirements.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Provide additional information/clarification for insurance claims using knowledge of CPT, ICD-9, and HCPCS codes, as well as modifiers.
• Assist staff with proper billing for patients, ensure proper coding using ICD-10, ICD-9 and CPT-4 coding.
Show more