Patient partner vs authorization specialist

Differences between patient partner and authorization specialist duties and responsibilities

Patient partner example responsibilities.

• Communicate with insurance companies on a continuous basis to ensure hospital reimbursement and attain authorization for home and rehabilitation services.
• Verify and confirm CPT codes for correct sleep study, verify that the referral and scripts are sign.
• Collaborate with health care team (s) provide concurrent review and identify ICD-9 and CPT billing codes.
• Listen carefully for key concerns of patients and respond accordingly.
• Provide assistance in directing and escorting non-emergency patients to other designations throughout the hospital setting.
• Comply with HIPPA and OSHA protocol guidelines and demonstrate a professional level of confidentiality in regard to all patient/facility affairs
Show more

Authorization specialist example responsibilities.

• Demonstrate knowledge of HIPAA by appropriately managing patient confidentiality.
• Utilize CMS and InterQual criteria to establish authorizations for members requiring medical services for a Medicare advantage insurance company.
• Build authorization, match ICD-10 codes with there procedure codes
• Provide patients with patient registration forms in order to follow up on patient check-in and check-out utilizing a proprietary management system.
• Obtain verification of insurance coverage and authorizations for clinical visits and surgical procedures for patients.
• Perform all components of the office registration including arrival, check-in and future appointments.
Show more