Senior collection specialist vs account representative

Differences between senior collection specialist and account representative duties and responsibilities

Senior collection specialist example responsibilities.

• Manage re-billings for third party accounts including: commercial carriers, manage care, PPO, POS and HMO organizations.
• Work comp, MV cases, Medicare, Medicaid and commercial insurances.
• Follow Medicare guidelines, posses knowledge of ICD and CPT coding, medical and reimbursement terminology, third party billing
• Cross train fellow agents in store support and online product matrix, and train incoming agents in software and FDCPA guidelines.
• Participate in the Medicaid conversion project.
• Verify correct consumer provide disclosure to ensure compliance with FDCPA regulations.
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Account representative example responsibilities.

• Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
• Manage the daily correspondence from assign practices with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
• Manage and maintain an internal database system to generate reports and produce accurate account information for patients and insurance companies.
• Educate physicians to use current ICD-9 diagnostic coding and preparation to begin ICD-10 coding requirements.
• Analyze health care insurance/litigation patient account files to resolve outstanding and delinquent accounts due to the healthcare client.
• Promote ThermoCool SmartTouch ablation catheter device to electrophysiologists.
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