Referral coordinator vs referral specialist

Differences between referral coordinator and referral specialist duties and responsibilities

Referral coordinator example responsibilities.

• Establish rapport with all PCP offices, hospital personnel, and manage care representatives.
• Ensure CPT and ICD-9 coding are accurate and complete according to AMA's guidelines and for third party intermediaries.
• Contact medical insurance companies and provide ICD-9 diagnosis and CPT procedure codes for patient's illness, condition or injury.
• Apply ICD-9 and CPT-4 codes to complete referral requests online or via fax.
• Conduct the entire office's EHR process and create a system to track old and new patient's records.
• Incorporate core organizational values of quality, respect, integrity, partnership, and compassion in all activities and decisions.
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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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