Medicare billing specialist vs account specialist

Differences between medicare billing specialist and account specialist duties and responsibilities

Medicare billing specialist example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Resolve billing issues, ensure accuracy re: CPT, HCPCS, ICD-9 codes as applicable.
• Expand knowledge with insurance EOB & Tennessee Medicare (handle denials and some occurring problems )
• Call Medicare to re-open claims due to date, CPT, units, or other changes.
• Used CPT-4 coders/Modifiers, ICD-9 codes, HCPCS codes when applicable for the resolution of claim payments.
• Comply with all HIPPA laws.
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