Medical center representative vs patient care coordinator

Differences between medical center representative and patient care coordinator duties and responsibilities

Medical center representative example responsibilities.

• Follow policies and procedures to accomplish responsibilities including following HIPAA regulations.
• Qualify in the application and use of ICD-9 and CPT codes relative to patient registration.
• Read claims, CPT and ICD-9 codes to do an explanation of benefits, the company history cards and out-of-pocket expense.
• Call points are hematology/oncology, infectious disease, renal transplant/urology and nuclear cardiology.
• Operate within the laws of HIPPA.
• Help set up protocol for LTM studies in Neuro ICU.
Show more

Patient care coordinator example responsibilities.

• Communicate with insurance companies on a continuous basis to ensure hospital reimbursement and attain authorization for home and rehabilitation services.
• Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
• Check in, check out patients, and do EKG's.
• Gain knowledge relate to bundle payments for orthopedic patients and the rules and regulations set forth by CMS.
• Respond to telephone inquiries, providing quality service to customers, PSR's and insurance representatives inquiring about patient accounts.
• Prepare patients prior to MRI exam, obtain safety check lists and assist with the daily operations of the MRI department.
Show more