Medical Policy Specialist jobs in Boca Raton, FL

Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2025 Salary.com)

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Medical Receptionist/Customer Service Specialist
  • Palm Medical Centers
  • Delray Beach, FL FULL_TIME
  • Duties & Responsibilities:

    • Deliver excellent patient service.
    • Answer telephone promptly and direct calls accordingly.
    • Ability to retrieve phone messages and transfer calls as necessary.
    • Verify patient insurance.
    • Ability to retrieve all correspondence from all mailboxes and distribute accordingly.
    • Ability to prioritize the centers business needs and flexibility to assist other areas as needed.
    • Responsible for scheduling appointments, checking-in/out patients, and obtaining accurate patient information.
    • Greet patients and visitors in a courteous/professional manner.
    • Notify appropriate personnel of visitor arrival and directs visitor to correct area.
    • Perform clerical functions.
    • Maintain/update directory of all employees in the center.
    • Notify the transportation dispatcher when patients are ready for pick up.
    • Maintain professional conduct and appearance at all times.
    • Ensure waiting and reception areas are kept clean and tidy.
    • Perform other duties and projects as assigned.
    • Flexibility to commute to other centers.

    Required Skills, Experience and Education:

    • Exceptional customer service and phone etiquette
    • Ability to use computers to enter information
    • Excellent written and verbal communication skills
    • Attention to detail
    • Ability to connect with patients and make them feel comfortable
    • Patience and presence of mind

    Physical Requirements:

    • Prolonged periods of sitting at a desk and working on a computer
    • May require prolonged period of standing, walking and bending
    • Ability to move/lift up to 20 pounds at times

    Job Type: Full-time

    Benefits:

    • 401(k)
    • Dental insurance
    • Disability insurance
    • Employee assistance program
    • Flexible spending account
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Job Type: Full-time

    Salary: $16.00 - $17.50 per hour

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Paid time off
    • Vision insurance

    Experience level:

    • 3 years

    Shift:

    • Day shift

    Weekly day range:

    • Monday to Friday

    Work setting:

    • In-person

    Experience:

    • Computer skills: 1 year (Required)
    • Medical receptionist: 1 year (Required)
    • Customer service: 2 years (Required)


    Palm Medical Centers is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

    This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Medical Centers makes hiring decisions based solely on qualifications, merit, and business needs at the time.

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  • 1 Month Ago

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Clinical Specialist
  • Mainstay Medical
  • Beach, FL FULL_TIME
  • This position will be based out of South Florida and support the surrounding territories. Mainstay MedicalMainstay Medical is a medical device company focused on marketing an innovative implantable ne...
  • 18 Days Ago

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Embroidery Specialist
  • Protech Medical
  • Beach, FL FULL_TIME
  • Job Title: Embroidery SpecialistLocation: West Palm Beach, FLCompany: Protech MedicalJob Type: Full-TimeAbout Protech Medical:Protech Medical is a family-owned manufacturer of radiation protection app...
  • 16 Days Ago

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HIM Specialist
  • Jupiter Medical Center
  • Jupiter, FL FULL_TIME
  • Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.Outstanding ph...
  • 1 Month Ago

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Front Counter Associate
  • Nobile Shoe Services Orthopedic Specialist
  • Stuart, FL FULL_TIME
  • Nobile Shoes, Treasure Coasts largest comfort shoe retailer is looking for a Front Counter Associate who will be responsible for providing exceptional customer service to all customers in a timely and...
  • 1 Month Ago

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Medical Billing & Collections Specialist
  • Ultimate Staffing
  • Jupiter, FL FULL_TIME
  • Our client is an established healthcare organization in Jupiter, FL that prioritizes patient care and satisfaction. We are seeking a detail-oriented Medical Billing & Collections Specialist to join th...
  • 21 Days Ago

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0 Medical Policy Specialist jobs found in Boca Raton, FL area

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Credit Specialist
  • Gemaire Distributors, LLC
  • Deerfield Beach, FL
  • Job Description Job Description Summary: The Credit Specialist conducts the daily operational credit review and maintena...
  • 1/18/2025 12:00:00 AM

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Member Relationship Specialist
  • BrightStar Credit Union
  • Pembroke Pines, FL
  • Job Description Job Description About BrightStar Credit Union, we are committed to creating a diverse work environment w...
  • 1/18/2025 12:00:00 AM

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Server/Dining Room Care Manager
  • Sunrise Senior Living
  • Boca Raton, FL
  • Sunrise Senior Living was again certified as a Great Place to Work® by Activated Insights. This is the 7th time Sunrise ...
  • 1/17/2025 12:00:00 AM

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Manufacturing Science Associates/Supervisors
  • Pherros Biosciences
  • Deerfield Beach, FL
  • Summary of Position “Quality and safety above everything”. That is the unassailable theme that guides everything that we...
  • 1/17/2025 12:00:00 AM

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Associate Center Clinical Director
  • ChenMed
  • Deerfield Beach, FL
  • We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you in...
  • 1/17/2025 12:00:00 AM

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Primary Care Medical Doctor (Board-Certified) Family Practice M.D.
  • Vie Medical Center Inc
  • Delray Beach, FL
  • Job Description Job Description VIE MEDICAL CENTER INC. We are currently seeking for a F/T Board-Certified M.D (Primary ...
  • 1/16/2025 12:00:00 AM

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Medical Assistant
  • CardioMender, MD Weight Loss Specialists
  • Pembroke Pines, FL
  • Job Description Job Description ESSENTIAL MEDICAL ASSISTANT JOB FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO: Obtain vital s...
  • 1/15/2025 12:00:00 AM

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Personal Injury Attorney
  • Stealth
  • West Palm Beach, FL
  • We are seeking an experienced Personal Injury Attorney to join our dynamic and client-focused legal team in West Palm Be...
  • 1/14/2025 12:00:00 AM

According to the United States Census Bureau, the city has an area of 29.1 sq mi (75.4 km2), of which 27.2 sq mi (70.4 km2) of this is land and 1.9 sq mi (5.0 km2) of it (6.63%) is water. Boca Raton is a "principal city" (as defined by the Census Bureau) of the Miami metropolitan area. Approximately 1 sq mi is on the barrier island Deerfield Beach Island (DBI), also colloquially known as Deerfield Cay. Like other South Florida cities, Boca Raton has a water table that does not permit building basements, but there are several high points in the city, such as 4th Avenue which is aptly named "Hig...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$89,382 to $109,100
Boca Raton, Florida area prices
were up 1.5% from a year ago

Medical Policy Specialist in Norfolk, VA
Guideline 9 – specialist medical procedures provides that applications for the separate representation of children with an intellectual impairment in relation to applications for special medical procedures are not subject to the means test or merits test.
February 20, 2020