Insurance processor vs insurance biller

Differences between insurance processor and insurance biller duties and responsibilities

Insurance processor example responsibilities.

• Manage database by processing renewals and endorsements.
• Input and process all dental claims, through electronic and paper submission, to private insurance companies and Medicaid.
• Maintain patient privacy and confidentiality complaint with HIPPA regulations.
• Work directly with mortgage lenders and foreclosure attorneys to negotiate timely and cost effective repayment plans or modifications for delinquent loans.
• Handle a substantial amount of Allstate customers, third party carriers, and others who need assistance to file a claim.

Insurance biller example responsibilities.

• Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
• Utilize ICD-9 and CPT codes, enter charges, and send statements for billing purposes.
• Process monetary transactions, insurance payments and enter into bookkeeping ledgers and monthly statements to patients.
• Submit medical claims for reimbursement on medical services provide to patients by medical provider for reimbursement.
• Code and post hospital and office charges using ICD-9, CPT-4.
• Look up ICD-9 codes to verify if a code has been change and enter.
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