Insurance billing clerk vs receptionist/billing clerk

Differences between insurance billing clerk and receptionist/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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Receptionist/billing clerk example responsibilities.

• Assist office management and staff with administrative projects/responsibilities such as managing time-sensitive projects, filing, copying, and collating materials.
• Obtain and track all insurance referrals for patients with HMO products.
• Coordinate in-processing of all patients, to include accurate insurance information and payments are entered correctly into office computer system.
• Move from SNF billing to HMO outpatient billing and keep a large alpha current.
• Maintain confidentiality and adherence to HIPAA guidelines.
• Develop effective billing strategies for Medicaid recipients according to HIPPA rules and regulations.
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