Medical care evaluation specialist vs release of information specialist

Differences between medical care evaluation specialist and release of information specialist duties and responsibilities

Medical care evaluation specialist example responsibilities.

• Apply Medicare, Medicaid billing guidelines to achieve maximum reimbursement.
• Retrieve specific records and documents for emergency room, critical care unit, medical surgery and cardiology departments.
• Coordinate with interdisciplinary team members to ensure MDS complete accurately and timely for submission and subsequent reimbursement.

Release of information specialist example responsibilities.

• Manage and track various holds on inventory: ship on quarantine; FDA hold; and quality hold.
• Apply insurance knowledge to interpret EOB, all manage contracts and fee schedules for physician services and hospital services.
• Generate reports for managing compliance with Medicaid documentation in support of electronic billing to MCO
• Deliver customer service to patients and their families regarding access to their medical history information.
• Assist clients with choosing a Medicaid HMO.
• Handle Meditech requests then enter information into Esmartlog.
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