Senior billing analyst vs medical billing, receptionist

Differences between senior billing analyst and medical billing, receptionist 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, receptionist example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Revise CPT codes and ICD-10 codes before submitting to insurance for chiropractic services and durable medical equipment.
• Review and research ICD-9 and CPT codes that are denied by payers, and contact physician offices to assist with correction.
• Submit secondary insurance claims with primary insurance EOB.
• Facilitate medical billing and coding by interfacing with insurance companies and patients to ensure proper billing procedures.
• Discuss physicians' choice of E/M level when in question.
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