Medical billing supervisor vs referral coordinator

Differences between medical billing supervisor and referral coordinator duties and responsibilities

Medical billing supervisor example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Verify CPT, ICD-9 and HCPCS codes bill according to government regulation and guidelines.
• Monitor and make notes of trends find in reviewing physicians ICD-9 and CPT coding according to CMS guidelines.
• Resolve discrepancies leveraging extensive experience going through appropriate procedures to facilitate medical claims review, fee schedule pricing and appeals process.
• Conduct ICD-10 training for coding staff and auditing team.
• Full knowledge and practice of HIPPA and patient confidentiality policy and procedures.
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Referral coordinator example responsibilities.

• Establish rapport with all PCP offices, hospital personnel, and manage care representatives.
• Ensure CPT and ICD-9 coding are accurate and complete according to AMA's guidelines and for third party intermediaries.
• Contact medical insurance companies and provide ICD-9 diagnosis and CPT procedure codes for patient's illness, condition or injury.
• Apply ICD-9 and CPT-4 codes to complete referral requests online or via fax.
• Conduct the entire office's EHR process and create a system to track old and new patient's records.
• Incorporate core organizational values of quality, respect, integrity, partnership, and compassion in all activities and decisions.
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