Role of Ins Billing Specialist
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Ability to input data & transmit insurance claims accurately directly or thru clearinghouse as well as maintain and update software applications as required by third-party payers is technical skill required of what job? | show 🗑
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| show | Hospitals, acute care hospitals, skilled nursing & long term care facilities, rehabilitation centers & ambulatory surgical centers.
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| show | Physician assistant, nurse practictioner, certified nurse anesthetist, physical therapist, speech therapist, LCSW, certified registered nurse practicioner.
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| show | Insurance billing specialist
Medical Billing respresentative
Reimbursement specialist
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| show | Abstracts health info from patient records
Operates computer to create & transmit claims
Acts as a link between the provider & third-party payers
Insurance counselor to patients
Bills secondary insurance and patients
Updates knowledge
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| List the duties of claims assistance professional. | show 🗑
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| Insurance claims must be submitted within how many days to ensure continuous cash flow. | show 🗑
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| show | Cash flow
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| show | 1. Failure to verify insurance benefits
2. Failure to obtain authorization or pre-certification
3. Failure to collect copays and deductibles
4. Inadequate claims filing
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| show | Knowledge of medical terminology, anatomy & physiology
Expert use of procedural and diagnostic codes
Precise reading skills
Basic math
Knowledge of compliance, billing & collection techniques
Basic keyboarding & computer skills
Generate claims
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| Define medical ethics. | show 🗑
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| To report incorrect information to an Aetna insurance is what? | show 🗑
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| show | Illegal
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| show | Unethical
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| show | When a physician is legally responsible for an employee;s conduct performed during employment.
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| What type of insurance is needed if a claims assistant neglects to submit an insurance claim to a Medicare supplement insurance within the proper time limit? | show 🗑
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Created by:
mpeoples