Self pay representative vs collections coordinator

Differences between self pay representative and collections 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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Collections coordinator example responsibilities.

• Plan and conduct sensitive HUMINT collection operations with an emphasis on managing and debriefing confidential sources.
• Manage accounts receivable/payment, insurance billing and follow-up for a solo physician clinic, and direct communication with patients regarding bills.
• Audit outstanding accounts and resolve any balances including calling Medicare, Medicaid, government, private or commercial insurances.
• Perform daily follow-up on Medicare, Medicaid, workers compensation and commercial insurances.
• Hand illustrate fully render with marker and colore pencil sketches and Photoshop render drawings.
• Submit insurance appeals and provider disputes when necessary.
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