Insurance collector vs insurance coordinator

Differences between insurance collector and insurance 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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Insurance coordinator example responsibilities.

• Verify patient dental insurance coverage and limitations with major private and business dental insurance providers as well as Medicaid and Medicare.
• File to record patient demographics in numerous EMR systems and paper charts if applicable.
• Prepare providers and staff for ICD-10 transition.
• Post and reconcile all daily insurance, patient payments and transactions within the EMR system.
• Experience in registration in healthcare, business office and physician billing, with reimbursement and collections.
• Process all Medicare claims, explaining HMO changes to patients in detail and accurately documenting all benefits.
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