Insurance billing clerk vs billing analyst

Differences between insurance billing clerk and billing analyst 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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Billing analyst example responsibilities.

• Set up, manage, and terminate ACH accounts.
• Manage multiple contracts including timely and accurate billing of monthly invoices, payment notifications, and reconciliations.
• Use of the CMS website to determine the correct LCDs or NCDs for Medicare claims.
• Master sales, events, and reservations systems.
• Produce month-end reports from IDX for executive staff.
• Prepare provisional invoices for billing after provisional rates are receive from DCAA.
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