Verification specialist vs benefits assistant

Differences between verification specialist and benefits assistant duties and responsibilities

Verification specialist example responsibilities.

• Manage the TRICARE information program by presenting information utilizing available media, group presentations, or mailings.
• Maintain confidentiality of all patient medical information adhering to HIPPA regulations and Medicare / Medicaid policies.
• Verify primary insurance eligibility by phone with agents or online regarding Medicaid recipients and to determine payment responsibilities to providers.
• Verify medical coverage and benefits to providers and members, review certain ICD9 and CPT codes.
• Verify patient effective date of insurance, including CPT and diagnosis codes and general policy information.
• Receive extensive training on insurance plans and types, HIPAA compliance, PatientPlus programming and other workplace relate topics.
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Benefits assistant example responsibilities.

• Create reports using SQL database and manage reports, perform from internet-base tools for research projects need for client insight.
• Audit HIPAA and outgoing correspondence.
• Maintain strict confidentiality, observing HIPAA and other policies and guidelines.
• Post patient payments, verify insurance coverage for new and Medicaid patients.
• Provide information, education and assistance to clients regarding Medicare and Medicaid by phone and in person.
• Audit, correct and record all attendance records, vacation records, vacation carryover and vacation/sick accruals.
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