Hospital insurance representative vs operations representative

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

• Manage current day workflow within internal SharePoint sites.
• Manage the SharePoint solutions for project communication and project document repository.
• Schedule appointments and notify patients of upcoming appointments, preform billing, patient registration, medical registration and insurance verification.
• Greet patients and parents in courteous and consumer-orient manner, check patients into scheduling system and updates computer system information.
• Implement customer, order management, and inventory PeopleSoft modules.
• Write test scripts for PeopleSoft update, test new software, patches, and enhancements.
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