Revenue specialist vs specialist

Differences between revenue specialist and specialist duties and responsibilities

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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Specialist example responsibilities.

• Create, manage, and assist users with SharePoint sites.
• Manage an on-site IRB and company good clinical practice (GCP) inspection.
• Manage SharePoint sites by creating, editing, and customizing company sites, libraries and security.
• Manage the building of accounts, assigning of static IP's, and scheduling of business class installations.
• Convert servers from UNIX to Linux, all hardware diagnostics and repair including printers/plotters/desktops etc.
• Follow safety procedures such as maintenance of all equipment (Telxon scanners, terminals and ladders).
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