Medical billing supervisor vs billing specialist

Differences between medical billing supervisor and billing specialist duties and responsibilities

Medical billing supervisor example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Verify CPT, ICD-9 and HCPCS codes bill according to government regulation and guidelines.
• Monitor and make notes of trends find in reviewing physicians ICD-9 and CPT coding according to CMS guidelines.
• Resolve discrepancies leveraging extensive experience going through appropriate procedures to facilitate medical claims review, fee schedule pricing and appeals process.
• Conduct ICD-10 training for coding staff and auditing team.
• Full knowledge and practice of HIPPA and patient confidentiality policy and procedures.
Show more

Billing specialist example responsibilities.

• Use of QuickBooks to manage vendors' accounts, set up filing system to maintain files and supporting billing documents.
• Manage the daily correspondence with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Use independent judgment, manage and impart confidential information appropriately per HIPAA regulations and company requirements.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Provide additional information/clarification for insurance claims using knowledge of CPT, ICD-9, and HCPCS codes, as well as modifiers.
• Assist staff with proper billing for patients, ensure proper coding using ICD-10, ICD-9 and CPT-4 coding.
Show more