Registration specialist vs revenue specialist

Differences between registration specialist and revenue specialist duties and responsibilities

Registration specialist example responsibilities.

• Attain and authenticate patient insurance information, counsel patients on changes in insurance policies, verify patient demographics.
• Help patients through the registration and admitting processes and also contribute to the PBX department.
• Input data entries for insurance billing; adding CPT codes and diagnosis from face sheets as patients arrive.
• Act as hospital PBX operator.
• Complete all charge entry, enter all CPT and ICD-9 codes for billing for multiple doctors each day.
• Enter patient information and verify information according to HIPAA regulations.
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Revenue specialist example responsibilities.

• Process account receivables, charge entry, claims, and reimbursement in adherence to Medicare and all HMO guidelines.
• Establish a strong understanding of ICD-9 diagnosis and medical inventory codes.
• Work claim edits to ensure clean claim billing to Medicare/Medicare HMO's.
• Review the complex medical records and accurately codes primary/secondary diagnoses and procedures using ICD-10-CM and CPT coding conventions.
• Initiate appeals and ensure required documentation are submitted in the appeals process.
• Complete appeals when authorization are not obtain and or unusual procedure are performed.
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