Senior billing specialist vs billing representative

Differences between senior billing specialist and billing representative duties and responsibilities

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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Billing representative example responsibilities.

• Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Process orders in compliance with Medicare, Medicaid and private insurance verification guidelines; confirming customer's eligibility and insurance coverage.
• Verify insurance eligibility for schedule appointments, and verify cash pricing for private pay patients who request cost by CPT code.
• Submit and receive Medicare and Medicaid claims electronically on a daily basis.
• Utilize extensive computer skills and coding knowledge to produce and submit physical therapy and occupational therapy claims through medicaid and medicare.
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