Utilization coordinator vs surgery scheduler

Differences between utilization coordinator and surgery scheduler 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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Surgery scheduler example responsibilities.

• Manage medical records and patient information within HIPPA guidelines
• Manage patient pre-op responsibilities, and generate all necessary paperwork.
• Request financial screening services for patients with limit Medicaid packages, as well as the uninsured.
• Provide patients with information that explain hospital admission policies, time of admission and HIPPA privacy guidelines.
• Execute administrative tasks such as ordering supplies and working with CPT and DX codes relate to accurate patient billing.
• Maintain HIPAA and confidentiality standards.
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