Rater vs billing specialist

Differences between rater and billing specialist duties and responsibilities

Rater example responsibilities.

• Create and manage a file documentation checklist for all UW's and UT's.
• Assess and score the written portion of the TOEFL Jr. exam
• Train and process some DMV tasks to help out the team with the back log.
• Review TOEFL speaking samples and assign the appropriate scores.
• Research and gather information for underwriter (s) and CST.
• Score students' essays and help place them in the appropriate ESL course.
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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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