Compensation coordinator vs verification specialist

Differences between compensation coordinator and verification specialist duties and responsibilities

Compensation coordinator example responsibilities.

• Manage e-verify process for the entire organization working closely with remote managers to ensure timely access to documents.
• Administer company FMLA leave policies and procedures while reviewing claims for safety hazards and attend hearings as required.
• Design documents to provide FMLA clarification/responsibilities to employees and management.
• Process and coordinate appeal requests from members and providers while exceeding contractual and NCQA regulatory requirements for commercial and Medicaid members.
• Create presentations for weekly department meeting using PowerPoint software.
• Develop and administer internal databases in a SQL environment consistent with the departmental objectives.

Verification specialist example responsibilities.

• Manage the TRICARE information program by presenting information utilizing available media, group presentations, or mailings.
• Maintain confidentiality of all patient medical information adhering to HIPPA regulations and Medicare / Medicaid policies.
• Verify primary insurance eligibility by phone with agents or online regarding Medicaid recipients and to determine payment responsibilities to providers.
• Verify medical coverage and benefits to providers and members, review certain ICD9 and CPT codes.
• Verify patient effective date of insurance, including CPT and diagnosis codes and general policy information.
• Receive extensive training on insurance plans and types, HIPAA compliance, PatientPlus programming and other workplace relate topics.
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