Record filing clerk vs reimbursement specialist

Differences between record filing clerk and reimbursement specialist duties and responsibilities

Record filing clerk example responsibilities.

• Manage front office check-in, insurance verification and certifications from doctors.
• Prepare and pull files for subpoenas.
• Research daily schedules for upcoming surgeries and retrieve MRI and relevant exams for the procedures.
• Maintain and secure records due to companies' establish procedures and polices, while maintaining HIPPA.
• Used electronic scanner to convert hard copy film into digital format to upload into PACS application.
• Activate a contingency plan or downtime procedures for image and report distribution in the event PACS is not available.
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Reimbursement specialist example responsibilities.

• Manage the EDI clearinghouse rejections.
• Process department payroll, order supplies, and manage petty-cash funds.
• Manage use of various systems, such as MEDITECH, Cerner, WebNow, and yield-base follow-up tool.
• Manage cases by aggressively directing the litigation process.
• Negotiate fee structure for manage care contracts on acute and rehabilitation facilities.
• Research medical coding ICD-9, ICD-10, HCPCS and CPT-4 to let client know the outcome of medical claim.
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