Senior billing analyst vs senior billing specialist

Differences between senior billing analyst and senior billing specialist 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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Senior billing specialist example responsibilities.

• Manage temporary and internship staff on Medicaid posting project.
• Revamp updating process for ICD-9 codes to ensure that federal/state changes.
• Code all claims interpret in EOMB's from Medicare & EOB from insurance companies.
• Resolve incorrect insurance payments, EOB denials, and any issues with outstanding accounts.
• Review outpatient medical records for abstraction of billable physician services and conversion of those services into CPT codes.
• Process claims reviewing ICD9-10 and CPT codes on to ensure correct submission on HCFA and UB92 claim forms.
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