Insurance specialist vs patient service specialist

Differences between insurance specialist and patient service specialist duties and responsibilities

Insurance specialist example responsibilities.

• Manage database by processing renewals and endorsements.
• Maintain confidentiality and adhere HIPPA guidelines with handling patients' information
• Make recommendations on operationalization and oversight of specific marketplace enrollment policies.
• Verify various health insurance plan benefit information and eligibility for patients with chronic illnesses.
• Identify third party patient eligibility for Medicaid, Medicare, private insurance and alternate resources.
• Enter and prepare advanced beneficiary notices base on diagnosis and procedure codes for Medicare cover patients.
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Patient service specialist example responsibilities.

• Benefit coverage eligibility or concerns for patients will be complete timely to achieve identify outcomes or solutions.
• Greet patients and visitors with warmth, compassion, and demonstrate commitment to exceptional service.
• Provide customer service to patients via registration, co-pay and co-insurance payment collection, appointment scheduling and telephone service
• Obtain patient demographic, billing, insurance, and other necessary intake information for patients seeking rehabilitation services.
• Screen, triage, register and verify a high volume of client eligibility and demographic data.
• Direct callers to appropriate personnel, and initiate a triage slip for response by medical personnel.
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