Medical billing supervisor vs referral specialist

Differences between medical billing supervisor and referral 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.
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Referral specialist example responsibilities.

• Manage assignments of paying medical bills limit in depth that include organizing and researching regulations as pertain to veterans eligibility.
• Interview patients, evaluate eligibility, collect co-pays, deductibles, including, but not limit to insurance verification.
• Input HIPAA information, call physician offices to verify testing, collect copay's and deductibles.
• Arrange for debt repayments or establish repayment schedules and send out insurance claims with the correct ICD-9 and CPT codes.
• Research referrals and either deny or approve based on information obtain and appropriately identify diagnosis (CPT and ICD-9 coding).
• Maintain confidentiality by following all applicable HIPAA regulations.
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