Medical insurance biller vs billing specialist

Differences between medical insurance biller and billing specialist 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 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.
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