Tax investigator vs revenue specialist

Differences between tax investigator and revenue specialist duties and responsibilities

Tax investigator example responsibilities.

• Investigate welfare, Medicaid, and food stamp fraud.
• Work in conjunctions with the FBI, IRS and various corporations to help control tax loss and fraud.
• Update taxpayers addresses, assign temporary ITIN numbers to taxpayers without a social security number, establish fiduciary accounts for taxpayers
• Update taxpayers addresses, assign temporary ITIN numbers to taxpayers without a social security number, establish fiduciary accounts for taxpayers

Revenue specialist example responsibilities.

• Process account receivables, charge entry, claims, and reimbursement in adherence to Medicare and all HMO guidelines.
• Establish a strong understanding of ICD-9 diagnosis and medical inventory codes.
• Work claim edits to ensure clean claim billing to Medicare/Medicare HMO's.
• Review the complex medical records and accurately codes primary/secondary diagnoses and procedures using ICD-10-CM and CPT coding conventions.
• Initiate appeals and ensure required documentation are submitted in the appeals process.
• Complete appeals when authorization are not obtain and or unusual procedure are performed.
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