Circulation representative vs provider services representative

Differences between circulation representative and provider services representative duties and responsibilities

Circulation representative example responsibilities.

• Conduct telephone sales and interviews, compile and enter information into database, manage documents and insure customer satisfaction.
• Verify medicaid waive eligibility for non-emergency transportation.
• Conduct telephone sales and interviews, compile and enter information into database, manage documents and insure customer satisfaction.

Provider services representative example responsibilities.

• Coach, evaluate and performance manage MSRs to ensure timely and accurate service to clients.
• Achieve excellent customer satisfaction ratings as documented by CIGNA surveys.
• Proof reading contracts in order to adjust claims according to proper DRG, ICD-9, and CPT codes.
• Complete the surgery schedule and ensure all patients are aware of their financial responsibility prior to the surgery date.
• Help providers with all information about CPT codes such as authorizations, restrictions, fee schedules, and correct diagnosis codes.
• Register patients for surgery in computer system.
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