Medical reimbursement specialist vs specialist

Differences between medical reimbursement specialist and specialist 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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Specialist example responsibilities.

• Create, manage, and assist users with SharePoint sites.
• Manage an on-site IRB and company good clinical practice (GCP) inspection.
• Manage SharePoint sites by creating, editing, and customizing company sites, libraries and security.
• Manage the building of accounts, assigning of static IP's, and scheduling of business class installations.
• Convert servers from UNIX to Linux, all hardware diagnostics and repair including printers/plotters/desktops etc.
• Follow safety procedures such as maintenance of all equipment (Telxon scanners, terminals and ladders).
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