Medical insurance biller vs insurance clerk

Differences between medical insurance biller and insurance clerk 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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Insurance clerk example responsibilities.

• Manage front office check-in, insurance verification and certifications from doctors.
• Establish and implement procedures for completion of patient super bills with proper diagnostic coding utilizing ICD-9 and CPT code manuals.
• Maintain patient medical records insuring diagnosis codes (ICD-9) are itemized correctly and name and address of insurance carriers record.
• Schedule and obtain authorization for outpatient procedures for patients via private insurance, worker's compensation, and Medicare/ Medicaid.
• Complete several ICD-10 training courses.
• Perform medical coding with most accurate and descriptive HCPCS code.
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