Provider relations representative vs housing management representative

Differences between provider relations representative and housing management representative duties and responsibilities

Provider relations representative example responsibilities.

• Help manage ACO program and review measures with provider offices.
• Advise clients on health care and manage care products including POS, PPO and medical management programs.
• Provide keen oversight in developing and maintaining quality improvement programs while managing payroll.
• Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
• Review the provider contracts, paid members claims, base on the CPT code & ICD-9 that are submitted.
• Review provider claims for CPT and ICD-9 coding accuracy and generate payment of claims base upon current fee schedule.
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Housing management representative example responsibilities.

• Manage primary care and specialty provider contractual provisions for Medicare and Medicaid product lines.
• Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
• Conduct face-to-face interviews with patients to determine eligibility for Medicaid.
• Provide outstanding customer service, assisting patients as a financial counselor.
• Format ACH wires from collection agencies, attorneys and trustees for nightly processing.
• Interpret (EOB) correspondence receive to member's and (EOP) to providers.
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