Revenue specialist vs accounts receivable specialist

Differences between revenue specialist and accounts receivable specialist duties and responsibilities

Revenue specialist example responsibilities.

• Process account receivables, charge entry, claims, and reimbursement in adherence to Medicare and all HMO guidelines.
• Establish a strong understanding of ICD-9 diagnosis and medical inventory codes.
• Work claim edits to ensure clean claim billing to Medicare/Medicare HMO's.
• Review the complex medical records and accurately codes primary/secondary diagnoses and procedures using ICD-10-CM and CPT coding conventions.
• Initiate appeals and ensure required documentation are submitted in the appeals process.
• Complete appeals when authorization are not obtain and or unusual procedure are performed.
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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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