Medical reimbursement specialist vs medical service technician

Differences between medical reimbursement specialist and medical service technician 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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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.
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