Clinical support specialist vs referral specialist

Differences between clinical support specialist and referral specialist duties and responsibilities

Clinical support specialist example responsibilities.

• Manage assignments of paying medical bills limit in depth that include organizing and researching regulations as pertain to veterans eligibility.
• Help users in customization in the cadence module.
• Develop and improve EMR work flow including creating and updating software administration maintenance.
• Maintain client confidentiality and closely follow HIPAA regulations.
• Perform administrative support activities for medical record management and internal records to assure HIPAA compliance procedures.
• Complete medical referrals for patients who are being discharge from the hospital including demographics, medications/allergies, and laboratory data.
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Referral specialist example responsibilities.

• Manage assignments of paying medical bills limit in depth that include organizing and researching regulations as pertain to veterans eligibility.
• Interview patients, evaluate eligibility, collect co-pays, deductibles, including, but not limit to insurance verification.
• Input HIPAA information, call physician offices to verify testing, collect copay's and deductibles.
• Arrange for debt repayments or establish repayment schedules and send out insurance claims with the correct ICD-9 and CPT codes.
• Research referrals and either deny or approve based on information obtain and appropriately identify diagnosis (CPT and ICD-9 coding).
• Maintain confidentiality by following all applicable HIPAA regulations.
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