Insurance billing clerk vs customer service and billing

Differences between insurance billing clerk and customer service and billing 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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Customer service and billing example responsibilities.

• Manage daily payroll preparation and enter data into cumulative payroll system.
• Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
• Help troubleshoot various operating systems and set up email accounts.
• Verify eligibility through all payer sites and used the EMR system.
• Listen in detail customers requests and troubleshoot any issues they are having.
• Prepare claims, including CPT and ICD-9 codes, to be process by health insurance companies.
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