Orthopedic cast specialist vs insurance verification specialist

Differences between orthopedic cast specialist and insurance verification specialist duties and responsibilities

Orthopedic cast specialist example responsibilities.

• Manage patient files by making new charts, keying all encounters through ICD-9 coding procedures and posting in patient database.
• Maintain patient medical record in EMR (Allscripts), casting and bracing as needed, prepare injections.
• Document clinical findings on the EMR.
• Code procedure using CPT coding and diagnosis with ICD-9/ICD-10 coding.
• Assist with in office injections including ultrasound guide injections and PRP.
• Instruct patient in care of and assist patient in walking with casts, braces, and crutches.
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Insurance verification specialist example responsibilities.

• Check CPT and ICD-10 codes with LCD and policies from multiple insurance companies to make sure procedures will be paid.
• Support the patient privacy/confidentiality policies and regulations under HIPAA for patients and their medical records.
• Confirm correct charges base on HCPCS codes.
• Assist callers as well with questions about their benefits, terms and conditions of medical plans, appeals and grievances.
• Provide medical record support in the absence of EMR: assist clinics and hospitals in obtaining medical records in appropriate format.
• Document outbound communication from providers and veterans.
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