Reimbursement analyst vs release of information specialist

Differences between reimbursement analyst and release of information specialist 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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Release of information specialist example responsibilities.

• Manage and track various holds on inventory: ship on quarantine; FDA hold; and quality hold.
• Apply insurance knowledge to interpret EOB, all manage contracts and fee schedules for physician services and hospital services.
• Generate reports for managing compliance with Medicaid documentation in support of electronic billing to MCO
• Deliver customer service to patients and their families regarding access to their medical history information.
• Assist clients with choosing a Medicaid HMO.
• Handle Meditech requests then enter information into Esmartlog.
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