Self pay representative vs medical collector

Differences between self pay representative and medical collector 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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Medical collector example responsibilities.

• Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
• Perform as a mediator between insurance companies and patients collecting nationwide extensive medical bills.
• Utilize A/R reports and identify accounts that are past payments.
• Maintain a filing system of clients' medical records and disclosure following HIPPA guidelines.
• Post appropriate adjustment types and carrier payments to accounts for true A/R account balance reflection.
• Maintain strict confidentiality; adhering to all HIPAA guidelines/regulations.
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