Utilization coordinator vs registration coordinator

Differences between utilization coordinator and registration coordinator 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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Registration coordinator example responsibilities.

• Complete follow up calls to patients about their office visits and schedule surgery dates and times.
• Provide Commercial/private health plans, Medicare and Medicaid metrics and data collection.
• Call each patient day before surgery or procedure and give them their Pre-Op instructions and arrival time.
• Complete Medicaid application for clients without insurance.
• Communicate effectively with patients, physicians, insurance companies, case management and all hospital departments.
• Provide follow-ups when necessary for patients regarding their insurance coverage status as it relates to clinical visits and/or medication prescriptions.
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