Medical reimbursement specialist vs front desk coordinator

Differences between medical reimbursement specialist and front desk coordinator duties and responsibilities

Medical reimbursement specialist example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Review and submit medical documentation for medical claims appeals as necessary.
• Review and assign ICD-9, CPT-4 and HCPCS, and correct E/M codes to each patient encounter to prevent recovery credits.
• Verify private medical insurance benefits and Medicaid eligibility.
• Follow up on unpaid/unresolve account balances, including claims reject electronically and EOB denials.
• Research account activity base on analysis reports and correspondence resulting in additional follow-up with patients, insurance carriers and referring physicians.
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Front desk coordinator example responsibilities.

• File invoices, process payments, collect payments, manage all customer files, using QuickBooks.
• Manage check-in and registration process for all appointments including physician appointments and medical imaging.
• Manage patient data per HIPAA regulations for scheduling, registration, and verification of insurance eligibility.
• Enter patient demographics into computer utilize EMR system.
• Verify insurance coverage for require procedures and assist patients with alternative options for payments.
• Perform clerical/receptionist duties including greeting patients, check-in, and obtaining accurate insurance/demographic information for a gynecological office.
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