Insurance billing clerk vs billing and insurance coordinator

Differences between insurance billing clerk and billing and insurance coordinator 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.
Show more

Billing and insurance coordinator example responsibilities.

• Develop a database to maintain/update all manage care, Medicare and Medicaid fee schedules for accessibility by physicians and administrators.
• Look up for ICD-9 codes charges on a daily basic to verify that physicians post charges.
• Enter new and verify insurance information, putting in ICD-9 codes, correcting location and too late to bill.
• Instruct and supervise support staff in accurate CPT and ICD9 coding for the oncology department of a large medical clinic.
• Research and resubmitted reject claims with correct diagnosis, CPT codes and erroneous demographics for deny charges to insurances for reprocessing.
• Maintain strict patient confidentiality and adhere to HIPAA guidelines/regulations.
Show more