Medicare specialist vs accounts receivable specialist

Differences between medicare specialist and accounts receivable specialist duties and responsibilities

Medicare specialist example responsibilities.

• Manage cases by aggressively directing the litigation process.
• Submit correct claims when appropriate, assigning ICD-9-CM, CPT, HCPCS, and / or service codes when necessary.
• Maintain HIPPA compliance with all communications.
• Obtain accurate ICD-9 codes and process completed CMN's.
• Include knowledge of ICD-9 codes and state fee schedules/usual and customary.
• Code claims using the CPT and ICD-9-CM coding systems appropriate at the time.
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Accounts receivable specialist example responsibilities.

• Manage profitable accounts receivable ledgers for existing and new clientele maintaining accuracy of monies enter to appropriate relate account.
• Perform accounts reconciliations, complex invoice research, statement reconciliations, complex invoice research, statement reconciliation and journal entries.
• Follow company's standard operating procedures in cooperation with Medicare, Medicaid and private insurance providers to resolve billing issues.
• Cash and credit allocation of customer payments in ROSS ERP system.
• Prepare PowerPoint presentations, word documents, letters and spreadsheets while meeting deadlines.
• Reconcile direct billing accounts and adjust product pricing utilizing JD Edwards EnterpriseONE ERP system.
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