Insurance billing clerk vs medical billing, receptionist

Differences between insurance billing clerk and medical billing, receptionist 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, receptionist example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Revise CPT codes and ICD-10 codes before submitting to insurance for chiropractic services and durable medical equipment.
• Review and research ICD-9 and CPT codes that are denied by payers, and contact physician offices to assist with correction.
• Submit secondary insurance claims with primary insurance EOB.
• Facilitate medical billing and coding by interfacing with insurance companies and patients to ensure proper billing procedures.
• Discuss physicians' choice of E/M level when in question.
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