Reviewer sales vs insurance underwriter

Differences between reviewer sales and insurance underwriter duties and responsibilities

Reviewer sales example responsibilities.

• Create and lead staff development sessions on solution selling techniques/running effective promotions/POS execution/trade math.
• Participate in meetings with inter agencies and other entities as appropriate to facilitate and enhance the Medicaid eligibility determination process.
• Confirm all medical documentation/testing qualifies by the diagnosis (ICD-9 codes), HCPS codes, etc.
• Solicit customers by upselling, advertising company-base credit accounts, and offering customize options.

Insurance underwriter example responsibilities.

• Manage patient's records, appointments, and account balances while adhering to HIPPA standards.
• Manage A/R, A/P, credentialing, surgery scheduling, and coordinate patient referrals to other physicians.
• Manage operating procedure and accounting systems for payroll, operating expenses, supplies and inventory management and commercial accounts.
• Prepare all HCFA billing with proper ICD-9 codes and CPT codes for accurate turn around time on payments.
• Follow up with insurance carriers and patients to expedite the recovery of payment obligations
• File insurance and process billing and payments, coordinate patients financial arrangements, present treatment plans, verify insurance coverage.
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