Hospital insurance representative vs operations specialist

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

• Develop and implement VBA scripts to automate tasks in financial reporting.
• Manage all international A/R functions, reporting, sales, expense analysis and marketing campaigns as well as all royalties.
• Manage and process 100 FDA electronic and paper submissions including safety reports, new investigator reports, amendments, and protocols.
• Demonstrate ability to manage and organize clinical setting for patients and families.
• Personalize and manage a customer SQL network database to consolidate all incoming orders from different marketplaces.
• Manage a variety of operational tasks for moderately complex securities transactions that require knowledge of vary systems and processes.
Show more