Hospital insurance representative vs principal consultant

Differences between hospital insurance representative and principal 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.

Principal consultant example responsibilities.

• Manage project risks and issues throughout the SDLC phases, report project/program statuses to steering committee along with financial information.
• Provide PMO office support including improving governance processes to achieve expect results.
• Manage numerous engagements that are either custom development or package software (ERP) implementations and integration.
• Project leadership, strategy and health information management consulting services to healthcare and manage care organizations and health information technology companies.
• Design database and business objects using XML schema.
• Create XMLType view to generate xml output from a SQL query.
Show more