Utilization coordinator vs scheduling coordinator

Differences between utilization coordinator and scheduling 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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Scheduling coordinator example responsibilities.

• Manage medical records entering data with CPT and ICD-9 codes preserving an environment of thoroughness and accuracy.
• Manage payment postings, verify insurance coverage prior to patient appointments and advise patients of insurance referrals or authorizations require.
• Manage inpatient transfers to rehabilitation and medical facilities, along with preparing and monitoring outpatient billings insurance verification and referrals.
• Perform patient registration, insurance verification, and assist patients with scheduling radiology and chemotherapy appointments in a demanding environment.
• Enter all patient information in EMR system, scan all of patients medical record into EMR system and classify by sections.
• Check patient insurance coverage, determines if referral or authorization for surgery is needed.
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