Physician specialist vs referral specialist

Differences between physician specialist and referral specialist duties and responsibilities

Physician specialist example responsibilities.

• Manage providers' office and call schedules, outlook calendars and assist with surgery scheduling.
• Generate referral letters for physicians, manage and sort medical documents within the EHR system, and assist with e-prescribing.
• Review complete ultrasound and non-stress testing reports and assign appropriate ICD-10 and CPT codes.
• Train in AllScripts EMR system.
• Retrieve medical records from EMR and save to flash drive.
• File written letters of appeal on claims deny by the Medicaid.
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Referral specialist example responsibilities.

• Manage assignments of paying medical bills limit in depth that include organizing and researching regulations as pertain to veterans eligibility.
• Interview patients, evaluate eligibility, collect co-pays, deductibles, including, but not limit to insurance verification.
• Input HIPAA information, call physician offices to verify testing, collect copay's and deductibles.
• Arrange for debt repayments or establish repayment schedules and send out insurance claims with the correct ICD-9 and CPT codes.
• Research referrals and either deny or approve based on information obtain and appropriately identify diagnosis (CPT and ICD-9 coding).
• Maintain confidentiality by following all applicable HIPAA regulations.
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