Insurance billing clerk vs billing manager

Differences between insurance billing clerk and billing manager 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 manager example responsibilities.

• Manage, extract, and process EHRs by request.
• Manage the clinical staff payroll, the coding, authorization, and the billing of PDN, HHA and DME claims.
• Manage point-of-service collection functions to improve customer service and increase revenue for clinic and surgery centers.
• Manage preparation and maintain analysis by divisions to include CPT fees, Medicare reimbursement and contract reimbursements.
• Credential providers with Medicare, Medicaid and commercial carriers.
• Approve and post all A/R adjustments via PeopleSoft.
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