Referral specialist vs medical scheduler

Differences between referral specialist and medical scheduler 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.
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Medical scheduler example responsibilities.

• Manage patient pre-op responsibilities, and generate all necessary paperwork.
• Schedule patients for any testing that is necessary including MRI's, EMG's and Doppler's.
• Transcribe physician orders including schedule labs, testing and screening/specimens and occasionally transport patients to various location of the hospital.
• Prepare class for transition techniques to transition from ICD-9 to ICD-10.
• Perform basic medical assistant duties such as triage, vitals, administer IM injections.
• Answer multiple phone lines simultaneously, schedule patient appointments, and interact with physicians and triage patient calls.
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