Hospital insurance representative vs representative

Differences between hospital insurance representative and 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.

Representative example responsibilities.

• Manage fitting rooms and recover the department, while providing exceptional customer service and offering rewards and POS options.
• Manage physical portfolio with necessary derivatives to mitigate risk within company guidelines.
• Conduct telephone sales and interviews, compile and enter information into database, manage documents and insure customer satisfaction.
• Review EOB denials, appeals and/or rebilling as appropriate.
• Certify of all requirements, policies, and procedures, including MSB.
• Take inbound phone calls from member and providers explaining the EOB denial and payments
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