Medical reimbursement specialist vs medical billing, receptionist

Differences between medical reimbursement specialist and medical billing, receptionist duties and responsibilities

Medical reimbursement specialist example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Review and submit medical documentation for medical claims appeals as necessary.
• Review and assign ICD-9, CPT-4 and HCPCS, and correct E/M codes to each patient encounter to prevent recovery credits.
• Verify private medical insurance benefits and Medicaid eligibility.
• Follow up on unpaid/unresolve account balances, including claims reject electronically and EOB denials.
• Research account activity base on analysis reports and correspondence resulting in additional follow-up with patients, insurance carriers and referring physicians.
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Medical billing, receptionist example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Revise CPT codes and ICD-10 codes before submitting to insurance for chiropractic services and durable medical equipment.
• Review and research ICD-9 and CPT codes that are denied by payers, and contact physician offices to assist with correction.
• Submit secondary insurance claims with primary insurance EOB.
• Facilitate medical billing and coding by interfacing with insurance companies and patients to ensure proper billing procedures.
• Discuss physicians' choice of E/M level when in question.
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