Verification specialist vs workers compensation coordinator

Differences between verification specialist and workers compensation coordinator 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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Workers compensation coordinator example responsibilities.

• Support, maintain and manage input of information into the automated HRIS system, and integrate HRIS with other systems.
• Manage litigation, pay timely compensation, file necessary state forms timely, negotiate appropriate settlements within company assign authority.
• Maintain employee records in ADP and PeopleSoft.
• Create job codes using PeopleSoft; conduct periodic audits and analysis.
• Act as liaison with third-party administrator (TPA) and insurance carrier.
• Assist in the development of new applicant tracking system and HRIS database.
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