Answer to Question 1
Health insurance specialists are employed by insurance companies, third-party administrators, and managed-care companies. A health insurance specialist (or claims examiner) reviews health-related claims to determine whether the costs are reasonable and medically necessary given patient's diagnosis, and will also verify claims against third-party payer guidelines to authorize payment.
Answer to Question 2
Job titles for RHITs include health data analyst, insurance claims analyst, records technician specialist, clinical coding specialist, physician practice manager, and patient information coordinator. RHIA job titles include department director, system manager, data quality manager, information security officer, educator, and consultant.
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