Utilization coordinator vs medical receptionist

Differences between utilization coordinator and medical receptionist 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.
Show more

Medical receptionist example responsibilities.

• Conduct analysis to address long wait times which lead to faster triage, shorter wait times.
• Evaluate all EOB's to insure accurate payment is received and when necessary will file appeals to achieve optimal payments.
• Greet and check-in patients, including obtaining accurate patient demographic information, patient registration, and checking insurance eligibility.
• Learned and operate chiropractic equipment (decompression; Leander) & x-rays; enabling Dr to have more time for patients.
• Resolve concerns of terminally ill patients with compassion and professionalism.
• Identify patients' specific scheduling requirements while demonstrating care and compassion via telephone.
Show more