Physician specialist vs billing specialist

Differences between physician specialist and billing specialist duties and responsibilities

Physician specialist example responsibilities.

• Manage providers' office and call schedules, outlook calendars and assist with surgery scheduling.
• Generate referral letters for physicians, manage and sort medical documents within the EHR system, and assist with e-prescribing.
• Review complete ultrasound and non-stress testing reports and assign appropriate ICD-10 and CPT codes.
• Train in AllScripts EMR system.
• Retrieve medical records from EMR and save to flash drive.
• File written letters of appeal on claims deny by the Medicaid.
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Billing specialist example responsibilities.

• Use of QuickBooks to manage vendors' accounts, set up filing system to maintain files and supporting billing documents.
• Manage the daily correspondence with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Use independent judgment, manage and impart confidential information appropriately per HIPAA regulations and company requirements.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Provide additional information/clarification for insurance claims using knowledge of CPT, ICD-9, and HCPCS codes, as well as modifiers.
• Assist staff with proper billing for patients, ensure proper coding using ICD-10, ICD-9 and CPT-4 coding.
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