Medicare specialist vs release of information specialist

Differences between medicare specialist and release of information specialist duties and responsibilities

Medicare specialist example responsibilities.

• Manage cases by aggressively directing the litigation process.
• Submit correct claims when appropriate, assigning ICD-9-CM, CPT, HCPCS, and / or service codes when necessary.
• Maintain HIPPA compliance with all communications.
• Obtain accurate ICD-9 codes and process completed CMN's.
• Include knowledge of ICD-9 codes and state fee schedules/usual and customary.
• Code claims using the CPT and ICD-9-CM coding systems appropriate at the time.
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Release of information specialist example responsibilities.

• Manage and track various holds on inventory: ship on quarantine; FDA hold; and quality hold.
• Apply insurance knowledge to interpret EOB, all manage contracts and fee schedules for physician services and hospital services.
• Generate reports for managing compliance with Medicaid documentation in support of electronic billing to MCO
• Deliver customer service to patients and their families regarding access to their medical history information.
• Assist clients with choosing a Medicaid HMO.
• Handle Meditech requests then enter information into Esmartlog.
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