Case reviewer vs outreach coordinator

Differences between case reviewer and outreach coordinator duties and responsibilities

Case reviewer example responsibilities.

• Manage afive person team responsible for covering scope, assigning, analysis and then final review ofInvestigation ROI.
• Require a broad and comprehensive knowledge of Medicaid policies, code references, and compliance.
• Provide education to physicians/office staff on aspects of HEDIS medical record documentation, compliance, and regulatory criteria.
• Participate in meetings with inter agencies and other entities as appropriate to facilitate and enhance the Medicaid eligibility determination process.
• Communicate regularly with client and travele frequently to arbitration site.
• Assist in preparation of witnesses and exhibits for depositions and arbitration hearings.
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Outreach coordinator example responsibilities.

• Help manage company twitter account, including following potential clients.
• Manage their Instagram account by posting bi-weekly posts and engaging with users.
• Maintain and update organization documents and manage data accuracy in the Salesforce database.
• Manage volunteer information, communication, on-boarding, and statistics in Salesforce database.
• Market Medicaid and Medicare products to all interest eligible candidates.
• Provide veterans with personal experience in order to navigate, social programs, educational programs and available financial assistance programs.
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