Provider enrollment specialist vs certified medical technician

Differences between provider enrollment specialist and certified medical technician duties and responsibilities

Provider enrollment specialist example responsibilities.

• Manage federal and state-mandate physician credentialing activities; act as NCQA committee liaison.
• Provide enrollment counseling to eligible recipients about Medicaid manage care and promote their voluntary enrollment into an HMO.
• Review provider enrollment applications to ensure the credentials and licenses meet all requirements for participation in the Medicare program.
• Verify provider is eligible to participate in Medicare according to CMS guidelines.
• Verify claim information using ICD-9 and medical terminology and CHAMPUS/ TRICARE guidelines .!
• Complete require forms and application for changes or updates in billing systems including EFT and or notification of Athena.
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Certified medical technician example responsibilities.

• Maintain the cleanliness of storage areas, trays, centrifuges, refrigerators, freezers and work area.
• Administer medications to patients according to their medication record as scheduled, as needed according to physician orders.
• Perform laboratory test and procedures in areas including chemistry, hematology, urinalysis, coagulation, serology, and bacteriology.
• Perform first aid and apply CPR when necessary.
• Perform first aid or CPR during medical emergencies until paramedics arrive.
• Assist the residents in their ADL needs and prepare their meals.
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