Medical staff coordinator vs scheduling coordinator

Differences between medical staff coordinator and scheduling coordinator duties and responsibilities

Medical staff coordinator example responsibilities.

• Manage process and documentation of re-accreditation in accordance with NCQA standards.
• Ensure enrollment and participation with all organization contract managed care plans and perform Medicaid/Medicare provider enrollment.
• Maintain current knowledge of accreditation guidelines (TJC) and compliance with regulatory agencies (CMS).
• Maintain standards and processes for re-credentialing data ensuring database integrity, compliance with CMS and JCAHO regulatory bodies.
• Attend all meetings (weekly) and am responsible for keeping the meeting in compliance with ACCME standards for CME credit.
• Correspond with licensing boards, NPDB, hospitals, certification agencies, training programs and medical groups to resolve any issues.
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Scheduling coordinator example responsibilities.

• Manage medical records entering data with CPT and ICD-9 codes preserving an environment of thoroughness and accuracy.
• Manage payment postings, verify insurance coverage prior to patient appointments and advise patients of insurance referrals or authorizations require.
• Manage inpatient transfers to rehabilitation and medical facilities, along with preparing and monitoring outpatient billings insurance verification and referrals.
• Perform patient registration, insurance verification, and assist patients with scheduling radiology and chemotherapy appointments in a demanding environment.
• Enter all patient information in EMR system, scan all of patients medical record into EMR system and classify by sections.
• Check patient insurance coverage, determines if referral or authorization for surgery is needed.
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