Senior billing analyst vs medical billing clerk

Differences between senior billing analyst and medical billing clerk duties and responsibilities

Senior billing analyst example responsibilities.

• Lead the requirement gathering effort from key customers for development of new JAVA applications and for troubleshooting customer issues.
• Range of knowledge in CPT, ICD-9, HCPCS codes and other billing standards.
• Forecast, prepare, and analyze cash flow, DSO, and bad debt reserve
• Monitor compliance to corporate financial and legal policies and (Sarbanes-Oxley law) SOX compliance.
• Maintain invoice files and supporting documentation as required for audits and in accordance with SOX requirements.
• Prepare certification of medical necessity and prior authorization forms for Medicaid reimbursement and follow through on appeals when applicable.
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Medical billing clerk example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Interact with patients as part of the quality assurance process (follow-up, EHR confirmation, billing confirmation).
• Reconcile insurance and patient payments while researching and resolving incorrect payments, EOB rejections, and assort issues with outstanding accounts.
• Utilize medical terminology and follow HIPAA guidelines.
• Bill Magellan through Nextgen system.
• Double checked CMS-1500 form before posting it out to the insurance companies.
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