Utilization coordinator vs unit coordinator

Differences between utilization coordinator and unit 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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Unit coordinator example responsibilities.

• Manage inpatient transfers to rehabilitation and medical facilities, along with preparing and monitoring outpatient billings insurance verification and referrals.
• Demonstrate care and compassion toward all patients and family members at all times.
• Receive all incoming phone calls; triage calls from the hospital emergency room.
• Display ability to identify and prioritize degree of urgency via assignment of triage.
• Review all patients EMR to ensure all appropriate power plans and quality measure consoles have been initiate.
• Coordinate the daily events in an ICU setting and all other secretarial duties, including but not limit to maintaining equipment.
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