Insurance collector vs collections coordinator

Differences between insurance collector and collections coordinator 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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Collections coordinator example responsibilities.

• Plan and conduct sensitive HUMINT collection operations with an emphasis on managing and debriefing confidential sources.
• Manage accounts receivable/payment, insurance billing and follow-up for a solo physician clinic, and direct communication with patients regarding bills.
• Audit outstanding accounts and resolve any balances including calling Medicare, Medicaid, government, private or commercial insurances.
• Perform daily follow-up on Medicare, Medicaid, workers compensation and commercial insurances.
• Hand illustrate fully render with marker and colore pencil sketches and Photoshop render drawings.
• Submit insurance appeals and provider disputes when necessary.
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