Reimbursement analyst vs medical records technician

Differences between reimbursement analyst and medical records technician duties and responsibilities

Reimbursement analyst example responsibilities.

• Cultivate relationships with key contacts at insurance companies and manage care organizations, CMS and medical professional societies.
• Contract interpretation and enforcement of the agreement with multiple medical insurance companies through written and oral appeals is accomplished daily.
• Coordinate third party audits, defend preferential reporting practices and maintain current knowledge of Medicare and Medicaid reimbursement regulations.
• Update Meditech charge master with correct pharmacy pricing and HCPCS codes.
• Provide overall follow-up and coordination with Medicare and Medicare HMO plans and process with Medicare and Medicare HMO adjustments.
• Train on and implement eClinicalworks for several physician practices, taking them live from paper to full electronic medical records.
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Medical records technician example responsibilities.

• Enter all patient in-take into EMR, manage triage, scheduling, and maintain a sterile clinic setting.
• Manage medical treatment authorizations and durable medical equipment (DME) requests and verify medical eligibility for all patients requesting treatment.
• Perform examinations in the ER, main radiology area and surgery.
• Order medical records for patients, medical staff, outside entities, and court subpoenas for certain dates of services.
• Audited/Validate daily outpatient medical coding accounts involving emergency rooms, surgery, interventional radiology, radiology, and ancillary services.
• Staff education on EMR and industry regulations.
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