Self pay representative vs insurance coordinator

Differences between self pay representative 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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Insurance coordinator example responsibilities.

• Verify patient dental insurance coverage and limitations with major private and business dental insurance providers as well as Medicaid and Medicare.
• File to record patient demographics in numerous EMR systems and paper charts if applicable.
• Prepare providers and staff for ICD-10 transition.
• Post and reconcile all daily insurance, patient payments and transactions within the EMR system.
• Experience in registration in healthcare, business office and physician billing, with reimbursement and collections.
• Process all Medicare claims, explaining HMO changes to patients in detail and accurately documenting all benefits.
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