Utilization coordinator vs medical support assistant

Differences between utilization coordinator and medical support assistant 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 support assistant example responsibilities.

• Provide pharmaceutical services to Medicaid recipients through manage care organizations and fee-for-service programs.
• Coordinate front and back office tasks such as checking in and checking out patients, triage, and insurance verification.
• Assist with enrolling patients into the TRICARE online website so patients can access appointments remotely from any web enable device.
• Analyze patients' financial information to recommend suitable programs and lifesaving aid for both veterans and eligible family members.
• Review and audit payroll reports.
• Apply knowledge of coding systems, including ICD-9-CM and CPT.
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