Senior billing specialist vs billing specialist

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

• Use of QuickBooks to manage vendors' accounts, set up filing system to maintain files and supporting billing documents.
• Manage the daily correspondence with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Use independent judgment, manage and impart confidential information appropriately per HIPAA regulations and company requirements.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Provide additional information/clarification for insurance claims using knowledge of CPT, ICD-9, and HCPCS codes, as well as modifiers.
• Assist staff with proper billing for patients, ensure proper coding using ICD-10, ICD-9 and CPT-4 coding.
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