Utilization coordinator vs medical office administrator

Differences between utilization coordinator and medical office administrator duties and responsibilities

Utilization coordinator example responsibilities.

• Manage and coordinate authorization of denial letters and request for appeals with all levels of services.
• Manage and coordinate the workload of the release team members and are responsible for organizing and hosting all production release windows.
• Perform accurate verification of eligibility and benefits as well as advanced application of CPT, ICD-9 and ICD-10 codes.
• Assign accurate ICD-9 and CPT codes to request services for referral and authorization processing.
• Claim adjudication for assign HMO members.
• Provide orientation to pre-certification process for HMO, PPO, and POS members.
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Medical office administrator example responsibilities.

• Re-Evaluat & improve policy manual, develop standards for HIPPA, OSHA, manage care, billing and medical compliance.
• Facilitate client relationships and manage surgery schedules, financial consultations, follow up care and ongoing maintenance.
• Used knowledge of medical procedures and customer service, record medical histories and schedule patients for hospitalization and other procedures.
• Scan new information such as daily progress notes, physical exams, labs and diagnostic testing into EMR.
• Advise and counsel patient regarding food, fluid, medicine intake and restrictions prior to surgery including drop regime.
• Organize patient charts and loose reports, as well as paper work from daily operations for scanning into EMR system.
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