Personal service representative vs business representative

Differences between personal service representative and business representative duties and responsibilities

Personal service representative example responsibilities.

• Utilize federal and state Medicaid health guidelines to implement proper manage care according to departmental policies and procedures.
• Input and maintain ATM and debit cards within system.
• Comply with HIPAA standards in all patient documentation and interactions
• Handle complex inquires, resolve problems, gather information and troubleshoot problems.
• Assist customers with routine online bank relate requests such, as inquiries regarding ATM and debit card usage and limits.
• Assure all HIPAA guidelines are continuously being meet, while guaranteeing inquiries are being document according to government compliance standards.
Show more

Business representative example responsibilities.

• Manage customer relations with internal personnel, group administrators, brokers and members as related to Medicare insurance.
• Verify ICD-9 to physician's diagnosis; insure correct CPT codes and level of service are going out on claims.
• Handle incoming calls to investigate and troubleshoot network and hardware concerns that align with company expectations of quality.
• Utilize multiple internal information systems and applications to troubleshoot hardware issues.
• Verify all new and returning patients' insurance coverage and eligibility when reviewing patient registration.
• Obtain and verify accurate and complete patient demographic information, appropriately schedule patients according to center and insurance guidelines.
Show more