Hospital insurance representative vs operations associate

Differences between hospital insurance representative and operations associate 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.

Operations associate example responsibilities.

• Demonstrate ability to manage and organize clinical setting for patients and families.
• Meet minimum standards for compliance with AML laws and regulations.
• Organize and complete online LTL shipment orders for customers and vendors.
• Create new access, removing access, and act as SME for offshore staff.
• Perform preventative maintenance, as needed, to assist in the achievement of SLA contractual requirements.
• Communicate with LTL, TL carriers regarding billing/invoice, class, re weigh and other discrepancies.
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