Case Manager

The case manager acts as a liaison between patients, payers, and the healthcare team to support the revenue cycle and help close the gap between a healthcare’s finance and clinical departments. Job Duties and Responsibilities Develops, plans, organizes, and implements … Continue reading →

Data Entry Specialist

A data entry specialist enters information into a computer database for adequate record keeping. Data entry specialists must be able to type quickly and accurately and possess strong attention to detail. Job Duties and Responsibilities Enters patient information into the … Continue reading →

Patient Financial Counselor

Patient financial counselor’s (PFC) advises patients and other parties of their financial obligations by compassionately working with them and their families to address questions and concerns they have regarding insurance coverage and related charges. The PFC typically works in a … Continue reading →

Remote Coding Specialist

Medical coding involves assigning special codes to medical diagnoses and services. While many healthcare facilities hire medical coders to work in offices, some choose to outsource the work to remote coding specialists. These specialists perform their duties, oftentimes, around their … Continue reading →

Coding Analyst

The coding analyst is responsible for reviewing claims and medical records for correct billing, as well as processing and responding to any necessary incoming appeals and requests regarding determinations with providers. Job Duties and Responsibilities    Applying up-to-date documentation/guidelines when … Continue reading →

HEDIS Coordinator

HEDIS, a tool used by more than 90 percent of America’s health plans, measures performance on important ranges of care and service. HEDIS coordinators perform different tasks to ensure HEDIS data and reports are accurate, including investigation, auditing, and improvement … Continue reading →

Referral Specialist

Referral specialists generally work in an office setting and are responsible for making sure patients are approved by their insurance company to see a specialist. They also handle pre-authorization for specific procedures and gather financial information on patients, ensuring they … Continue reading →

Prior Authorization Nurse

The prior authorization nurse is responsible for administering prospective reviews of authorization requests, which may include treatments, services, admissions, home care, and referrals. The nurses will also assist in preparing documentation, performing audits of patient records, and helping management with … Continue reading →

Medical Technologist

Medical technologists are licensed healthcare professionals who work in hospitals or independent labs, and use sophisticated procedures and equipment to perform tests on blood and bodily fluids. The samples are then analyzed for chemical content, cell count, drug levels, blood … Continue reading →

Laboratory Assistant

Laboratory assistants work in medical laboratory settings, such as a physician’s office, research lab, clinic, or hospital under the supervision of a physician or lab personnel to collect, prepare, and assist with the examination of specimens. Many individuals accept this … Continue reading →