Insurance billing clerk vs medical billing clerk

Differences between insurance billing clerk and medical billing clerk 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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Medical billing clerk example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Interact with patients as part of the quality assurance process (follow-up, EHR confirmation, billing confirmation).
• Reconcile insurance and patient payments while researching and resolving incorrect payments, EOB rejections, and assort issues with outstanding accounts.
• Utilize medical terminology and follow HIPAA guidelines.
• Bill Magellan through Nextgen system.
• Double checked CMS-1500 form before posting it out to the insurance companies.
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