Patient account coordinator vs billing and insurance coordinator

Differences between patient account coordinator and billing and insurance coordinator duties and responsibilities

Patient account coordinator example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Perform appropriate follow-up for missing data elements such as CPT, HCPCS, ICD-9 codes and modifiers.
• Be able to work with the current CPT, ICD-9 books, CPC certification are required for this position
• Provide quality customer service, maintain confidentiality, problem solving, and accuracy while complying with all HIPAA regulations.
• Provide adequate documentation to insurance carriers for appeals and reconsideration of soft and technical denials.
• See that records are store securely and handle in compliance with HIPAA privacy and security regulations
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Billing and insurance coordinator example responsibilities.

• Develop a database to maintain/update all manage care, Medicare and Medicaid fee schedules for accessibility by physicians and administrators.
• Look up for ICD-9 codes charges on a daily basic to verify that physicians post charges.
• Enter new and verify insurance information, putting in ICD-9 codes, correcting location and too late to bill.
• Instruct and supervise support staff in accurate CPT and ICD9 coding for the oncology department of a large medical clinic.
• Research and resubmitted reject claims with correct diagnosis, CPT codes and erroneous demographics for deny charges to insurances for reprocessing.
• Maintain strict patient confidentiality and adhere to HIPAA guidelines/regulations.
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