Medical collections specialist vs account specialist

Differences between medical collections specialist and account specialist duties and responsibilities

Medical collections specialist example responsibilities.

• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Job duties include collecting on HMO, PPO, Medicare, and HMO Medicaid.
• Work directly with Medicare and HMO Medicaid plans, and statewide HMO/PPO/POS plans.
• Reprocess denied medical claims using extensive appeal tactics or special appeals processing instructions for commercial and government carriers.
• Adhere to all HIPAA guidelines as well as various policies and guidelines.
• Provide itemized billing statements and screen HIPAA authorization forms for hundreds of legal firms.
Show more

Account specialist example responsibilities.

• Cultivate productive long-term relationships with all assign accounts, and manage all reporting and presentation needs for RFP's.
• Manage a portfolio of accounts end to end RFP program execution inclusive of pricing, contracting, process and technology solutions.
• Manage the daily correspondence from assign practices with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Deliver exceptional customer service to hospital accounts and internal sales representatives in accordance to revenue recognition policies and HIPAA regulations.
• Experience with CMS 1500 and UB-04 claims using HCPC/CPT codes as well as NDC codes
• Monitor CMS and real time aux codes.
Show more