Hospital insurance representative vs operations coordinator

Differences between hospital insurance representative and operations coordinator 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 coordinator example responsibilities.

• Manage processing of all branch transactions involving A/R, A/P, inventory and equipment.
• Arrange regional sales functions, reporting and tracking expenses, including hiring adequate staff and vendors to accomplish target ROI.
• Manage all aspects of design and vendor sourcing to create and deliver SalesForce code, marketing materials and campaigns within budget.
• Manage redesign of SalesForce database and reconfiguration of data and objects to maximize functionality.
• Provide sales support including maintenance of new and existing contracts and track bid projects in CRM.
• Work with the branch/department manager to ensure that information concerning business processes are communicated to other business coordinators in the organization.
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