Insurance billing clerk vs insurance coordinator

Differences between insurance billing clerk 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.
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Insurance coordinator example responsibilities.

• Verify patient dental insurance coverage and limitations with major private and business dental insurance providers as well as Medicaid and Medicare.
• File to record patient demographics in numerous EMR systems and paper charts if applicable.
• Prepare providers and staff for ICD-10 transition.
• Post and reconcile all daily insurance, patient payments and transactions within the EMR system.
• Experience in registration in healthcare, business office and physician billing, with reimbursement and collections.
• Process all Medicare claims, explaining HMO changes to patients in detail and accurately documenting all benefits.
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