Medicare billing specialist vs billing analyst

Differences between medicare billing specialist and billing analyst 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.
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Billing analyst example responsibilities.

• Set up, manage, and terminate ACH accounts.
• Manage multiple contracts including timely and accurate billing of monthly invoices, payment notifications, and reconciliations.
• Use of the CMS website to determine the correct LCDs or NCDs for Medicare claims.
• Master sales, events, and reservations systems.
• Produce month-end reports from IDX for executive staff.
• Prepare provisional invoices for billing after provisional rates are receive from DCAA.
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