Hospital insurance representative vs contractor/consultant

Differences between hospital insurance representative and contractor/consultant duties and responsibilities

Hospital insurance representative example responsibilities.

• Cold-Cal to generate leads for individual life and disability insurance and annuities.
• Verify that each CPT code are paid correctly and according to fee schedule for any overpayment or underpayment ..
• Provide financial counseling for patients and their families by explaining financial policies and providing available resources for alternative payment.
• Fill out refund form with copy of all relate EOB's when credit balances are find on account.
• Serve as a resource/ advocate to all employees regarding claims problem resolution, benefits explanations and EOB issues.
• Collect patient demographic & insurance information via telephone for outpatient surgery and radiology.

Contractor/consultant example responsibilities.

• Manage design and development of cloud-base billing application for streamlining payroll and invoicing, as well as offering real-time business analytics.
• Assist PMO in defining project scope, task and budget, collaborating closely with developers.
• Bill and provide appropriate documentation to submit reimbursement for services to appropriate insurance to include Medicaid, Medicare, etc.
• Motivate and ensure SME team member engagement in projects.
• Provide Linux server setup, documentation, and internal support.
• Develop and implement SQL store procedures and DTS packages to process client billing data.
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