Medicare billing specialist vs customer service and billing

Differences between medicare billing specialist and customer service and billing 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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Customer service and billing example responsibilities.

• Manage daily payroll preparation and enter data into cumulative payroll system.
• Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
• Help troubleshoot various operating systems and set up email accounts.
• Verify eligibility through all payer sites and used the EMR system.
• Listen in detail customers requests and troubleshoot any issues they are having.
• Prepare claims, including CPT and ICD-9 codes, to be process by health insurance companies.
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