Health unit clerk vs reimbursement specialist

Differences between health unit clerk and reimbursement specialist duties and responsibilities

Health unit clerk example responsibilities.

• Manage inpatient transfers to rehabilitation and medical facilities, along with preparing and monitoring outpatient billings insurance verification and referrals.
• Perform debt collections, copy and file medical information, and administer affidavits and subpoenas on patient orders.
• Organize, analyze and technically evaluate inpatient and outpatient medical records for physician completeness according to hospital bylaws and JCAHO standards.
• Safeguard patient information according to the HIPPA policy.
• Remain up to date on HIPPA regulations and utilize them to obtain inmate medical records from outside providers.
• Comply with the rule and regulations of HIPAA.
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Reimbursement specialist example responsibilities.

• Manage the EDI clearinghouse rejections.
• Process department payroll, order supplies, and manage petty-cash funds.
• Manage use of various systems, such as MEDITECH, Cerner, WebNow, and yield-base follow-up tool.
• Manage cases by aggressively directing the litigation process.
• Negotiate fee structure for manage care contracts on acute and rehabilitation facilities.
• Research medical coding ICD-9, ICD-10, HCPCS and CPT-4 to let client know the outcome of medical claim.
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