Hospital insurance representative vs project specialist

Differences between hospital insurance representative and project 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.

Project specialist example responsibilities.

• Manage all phases of SDLC.
• Manage SDLC so that all controls are followed.
• Manage tracking and resolution of defects and reporting of UAT execution results.
• Purchase and manage inventory for aircraft LCD displays across all Rockwell sites.
• Manage relational database through SQL programming, as well as ERP and MRP.
• Design screen layouts and fields in the ERP system to accomplish above goals as well as enhance end user experience.
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