Self pay representative vs billing and insurance coordinator

Differences between self pay representative and billing and insurance coordinator duties and responsibilities

Self pay representative example responsibilities.

• Contact patients to coordinate payment arrangements or update their demographics from return mail.
• Work 90-120 days, as well as older A/R.
• Bill accounts to various commercial insurances or Medicaid.
• Review EOB to assure that correct adjustments are satisfied.
• Process and follow up on appeals to insurance companies.
• Process all subpoena and attorney requests using extensive knowledge of HIPAA requirements.
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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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