Medical claims specialist vs medical service technician

Differences between medical claims specialist and medical service technician duties and responsibilities

Medical claims specialist example responsibilities.

• Apply Medicare, Medicaid billing guidelines to achieve maximum reimbursement.
• Detail knowledge of medical coding; ICD-9, CPT and HCPCS codes.
• Confirm coverage and work with private payers, commercial payers, Medicaid, and Medicare for reimbursement of provide medical services.
• Research medical records, compliance requirements and explanations of benefits to resolve accounts payable for Medicare, Medicaid and commercial insurance.
• Maintain strict confidentiality/privacy of patients' protect health information in accordance with HIPAA regulations.
• Assist in educating new hires in HIPPA laws and training.
Show more

Medical service technician example responsibilities.

• Create and maintain confidential patient files; implement EHR systems to automate patient records management for the purposes of meaningful use.
• Administer and document vaccinations and perform strep tests, finger sticks, urinalysis, and various need lab tests.
• Run QC on all lab instrumentation ensuring reports are within acceptable limits.
• Keep track of all POC inventory, reagents, QC materials and equipment validations.
• Apply cold packs to affect injuries of the patient, fit crutches on patients.
• Maintain all training and CPR certifications in order to actively participate in codes with in the hospital.
Show more