Claim processing specialist vs client relations specialist

Differences between claim processing specialist and client relations specialist duties and responsibilities

Claim processing specialist example responsibilities.

• Manage expedition of appeals via problem solving and collaboration with other departments.
• Provide consumer-oriented health benefit plans, process all types of health claims knowledgeable of ICD-9 and CPT codes.
• Process medical claims for Medicaid recipients via a state-fund Medicaid insurance carrier per plan guidelines and department procedures.
• Ensure all work processes are compliant with various HIPAA regulations.
• Train on how to utilize reference materials to determine diagnosis, CPT, or appropriate HCPCS codes for claims processing.
• Provide speeches, educational information to various veterans organizations.
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Client relations specialist example responsibilities.

• Manage calendars; compile account records; create PowerPoint presentations for vendors, customers and investors.
• Transition reporting and document storage process to an online SharePoint workspace for increase efficiency.
• Participate in training of new representatives by composing training manuals and PowerPoint presentations.
• Perform collection follow-up duties on specific financial classifications such as commercial insurance, Medicare and Medicaid claims.
• Educate clients regarding proper distributions according to IRS regulations.