Medical insurance biller vs billing representative

Differences between medical insurance biller and billing representative duties and responsibilities

Medical insurance biller example responsibilities.

• Manage all aspects of AR including writing letters for medical necessity, claim denials, bundling issues and charge capture.
• Work on computer systems Laserfiche and MedFm
• Update patient demographic and create new accounts in AS400.
• Address student's concerns, work with academic and attendance appeals boards.
• Download and organize charts from hospital's website into Laserfiche before coding.
• Require the ability to read and analyze EOB's from all insurance companies.
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Billing representative example responsibilities.

• Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Process orders in compliance with Medicare, Medicaid and private insurance verification guidelines; confirming customer's eligibility and insurance coverage.
• Verify insurance eligibility for schedule appointments, and verify cash pricing for private pay patients who request cost by CPT code.
• Submit and receive Medicare and Medicaid claims electronically on a daily basis.
• Utilize extensive computer skills and coding knowledge to produce and submit physical therapy and occupational therapy claims through medicaid and medicare.
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