Insurance collector vs insurance clerk

Differences between insurance collector and insurance clerk 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.
Show more

Insurance clerk example responsibilities.

• Manage front office check-in, insurance verification and certifications from doctors.
• Establish and implement procedures for completion of patient super bills with proper diagnostic coding utilizing ICD-9 and CPT code manuals.
• Maintain patient medical records insuring diagnosis codes (ICD-9) are itemized correctly and name and address of insurance carriers record.
• Schedule and obtain authorization for outpatient procedures for patients via private insurance, worker's compensation, and Medicare/ Medicaid.
• Complete several ICD-10 training courses.
• Perform medical coding with most accurate and descriptive HCPCS code.
Show more