Insurance biller vs patient coordinator

Differences between insurance biller and patient coordinator 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.
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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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