Insurance collector vs account specialist

Differences between insurance collector and account specialist duties and responsibilities

Insurance collector example responsibilities.

• Verify accuracy of claims, work EOB's for all insurance company types, identify and solve problems with unpaid claims.
• Handle workers' comp., HMO, PPO correspondence.
• Identify incorrect charges base on proper CPT coding and payment methodologies.
• Utilize ICD9 and CPT code medical directories for billing purposes to get paid on claims.
• Perform necessary task to have commercial and workers comp EOB's reprocess to receive the correct total reimbursement.
• Download weekly Florida Medicaid remittance amounts and send to management.
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Account specialist example responsibilities.

• Cultivate productive long-term relationships with all assign accounts, and manage all reporting and presentation needs for RFP's.
• Manage a portfolio of accounts end to end RFP program execution inclusive of pricing, contracting, process and technology solutions.
• Manage the daily correspondence from assign practices with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Deliver exceptional customer service to hospital accounts and internal sales representatives in accordance to revenue recognition policies and HIPAA regulations.
• Experience with CMS 1500 and UB-04 claims using HCPC/CPT codes as well as NDC codes
• Monitor CMS and real time aux codes.
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