Referral specialist vs patient service specialist

Differences between referral specialist and patient service specialist 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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Patient service specialist example responsibilities.

• Benefit coverage eligibility or concerns for patients will be complete timely to achieve identify outcomes or solutions.
• Greet patients and visitors with warmth, compassion, and demonstrate commitment to exceptional service.
• Provide customer service to patients via registration, co-pay and co-insurance payment collection, appointment scheduling and telephone service
• Obtain patient demographic, billing, insurance, and other necessary intake information for patients seeking rehabilitation services.
• Screen, triage, register and verify a high volume of client eligibility and demographic data.
• Direct callers to appropriate personnel, and initiate a triage slip for response by medical personnel.
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