Question

In: Accounting

Assess responsibilities assigned to insurance billing and coding specialists and electronic claims processors.

  1. Assess responsibilities assigned to insurance billing and coding specialists and electronic claims processors.

Solutions

Expert Solution

Responsibilities of insurance billing and coding specialist are listed below-

1. Acquire the medical insurance billing knowledge and coding language skills. A medical billing and coding degree or certification program provides the skills necessary to full fill the job. In addition , acquire hands on experience by temping or interning in a medical insurance billing office.

2. Develop research, review analysis skills. These are necessary to understand physician diagnosis choices, apply the appropriate codes for billing purposes, detect mistakes and make other decision related to insurance billing.

3. Practice reading and data entry typing using computer keyboards, 10-keys pads and calculators. Pays close attention to details, as misspelling names, entering incorrect billing codes or description abbreviations, and mistyping money amounts can result in costly errors.

Duties and Responsibilities of Electronic Claims Processor are listed below –

1. He validates the information on electronic claims from seeking payment from their insurance company. Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.

Electronic claims processors are expected to have an extensive knowledge of terminology, as well as experience using a computer.


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