Referral specialist vs medical office administrator

Differences between referral specialist and medical office administrator duties and responsibilities

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.
Show more

Medical office administrator example responsibilities.

• Re-Evaluat & improve policy manual, develop standards for HIPPA, OSHA, manage care, billing and medical compliance.
• Facilitate client relationships and manage surgery schedules, financial consultations, follow up care and ongoing maintenance.
• Used knowledge of medical procedures and customer service, record medical histories and schedule patients for hospitalization and other procedures.
• Scan new information such as daily progress notes, physical exams, labs and diagnostic testing into EMR.
• Advise and counsel patient regarding food, fluid, medicine intake and restrictions prior to surgery including drop regime.
• Organize patient charts and loose reports, as well as paper work from daily operations for scanning into EMR system.
Show more