Insurance billing clerk vs bill collector

Differences between insurance billing clerk and bill collector duties and responsibilities

Insurance billing clerk example responsibilities.

• Manage the patient education program, responsible for ensuring patients are fully educate regarding medical conditions and prescribe medications.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Receive knowledge of CPT and ICD-9 codes used for insurance billing purposes.
• Verify Medicaid insurance eligibility prior to dispensing patient's orders.
• Maintain direct responsibility for contacting both patients and insurance carriers in a timely matter regarding ineligibility.
• Submit secondary insurance after primary has paid and submit EOB's with insurance forms.
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Bill collector example responsibilities.

• Prevent impeding loss and increasing profitability through negotiation and enforcement of schedule collection campaigns, consistently achieving high success standards.
• Follow HIPPA and FDCPA guidelines to ensure legal collection practices are utilized.
• Bill and collect all skil Medicare, and other insurance claims which include HMO claims denials.
• Provide patients with information and resources essential to their financial needs including payment arrangements and account reminders.
• Take payments by ACH and debit cards.
• Collect A/R payments from medical insurance companies and customers.
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