Hospitalist coordinator vs referral specialist

Differences between hospitalist coordinator and referral specialist duties and responsibilities

Hospitalist coordinator example responsibilities.

• Manage inpatient transfers to rehabilitation and medical facilities, along with preparing and monitoring outpatient billings insurance verification and referrals.
• Benefit tracking includes vacation, sick time and CME reimbursement.
• Maintain Hospitalists schedule to ensure coverage, tracking PTO and CME requests.
• Coordinate, maintain and reconcile monthly tracking reports for billing, payroll and clinical hours.
• Develop follow-up program for high-risk and non-compliant patients.
• Collect verify, prepare, and submits Hospitalists payroll information
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Referral specialist example responsibilities.

• Manage assignments of paying medical bills limit in depth that include organizing and researching regulations as pertain to veterans eligibility.
• Interview patients, evaluate eligibility, collect co-pays, deductibles, including, but not limit to insurance verification.
• Input HIPAA information, call physician offices to verify testing, collect copay's and deductibles.
• Arrange for debt repayments or establish repayment schedules and send out insurance claims with the correct ICD-9 and CPT codes.
• Research referrals and either deny or approve based on information obtain and appropriately identify diagnosis (CPT and ICD-9 coding).
• Maintain confidentiality by following all applicable HIPAA regulations.
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