Insurance specialist vs billing and insurance coordinator

Differences between insurance specialist and billing and insurance coordinator duties and responsibilities

Insurance specialist example responsibilities.

• Manage database by processing renewals and endorsements.
• Maintain confidentiality and adhere HIPPA guidelines with handling patients' information
• Make recommendations on operationalization and oversight of specific marketplace enrollment policies.
• Verify various health insurance plan benefit information and eligibility for patients with chronic illnesses.
• Identify third party patient eligibility for Medicaid, Medicare, private insurance and alternate resources.
• Enter and prepare advanced beneficiary notices base on diagnosis and procedure codes for Medicare cover patients.
Show more

Billing and insurance coordinator example responsibilities.

• Develop a database to maintain/update all manage care, Medicare and Medicaid fee schedules for accessibility by physicians and administrators.
• Look up for ICD-9 codes charges on a daily basic to verify that physicians post charges.
• Enter new and verify insurance information, putting in ICD-9 codes, correcting location and too late to bill.
• Instruct and supervise support staff in accurate CPT and ICD9 coding for the oncology department of a large medical clinic.
• Research and resubmitted reject claims with correct diagnosis, CPT codes and erroneous demographics for deny charges to insurances for reprocessing.
• Maintain strict patient confidentiality and adhere to HIPAA guidelines/regulations.
Show more