Senior patient service representative vs patient care coordinator

Differences between senior patient service representative and patient care coordinator duties and responsibilities

Senior patient service representative example responsibilities.

• Prioritize and manage multiple tasks; working knowledge of hospital billing systems/ follow-up process and CPT and ICD-9 coding.
• Manage PSR staff and perform all PSR functions including registration, check-out, medical records, order entry and procedure scheduling.
• Pursue reimbursement on accounts with general understanding of CPT, HCPCS, ICD-9, drugs, and revenue codes.
• Collect from insurance companies for Medicaid.
• Speak with insurance companies and facilitates communication between patients and doctors.
• Interact extensively with patients and insurance representatives to explain and educate patient on billing procedure.
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Patient care coordinator example responsibilities.

• Communicate with insurance companies on a continuous basis to ensure hospital reimbursement and attain authorization for home and rehabilitation services.
• Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
• Check in, check out patients, and do EKG's.
• Gain knowledge relate to bundle payments for orthopedic patients and the rules and regulations set forth by CMS.
• Respond to telephone inquiries, providing quality service to customers, PSR's and insurance representatives inquiring about patient accounts.
• Prepare patients prior to MRI exam, obtain safety check lists and assist with the daily operations of the MRI department.
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