Senior patient service representative vs patient coordinator

Differences between senior patient service representative and patient 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 coordinator example responsibilities.

• Comply with HIPAA regulations by discreetly and professionally handling all patients private medical information.
• Gather personal plus insurance information and perform thorough insurance breakdowns for patients.
• Communicate directly with patients to obtain initial patient information and respond to inquiries.
• Process and update HIPAA relate paperwork and other require institutional forms as necessary.
• Obtain all necessary documentation prior to surgery such as proof of identification, copy of insurance and require insurance referrals.
• Respond in writing to all grievances in accordance with CMS and DNV guidelines.
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