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 2024 Salary.com)
Orlin & Cohen Orthopedic Group is the premier and fastest-growing orthopedic practice on Long Island, providing comprehensive care that helps thousands of our neighbors live more active lives, free from pain. Orlin & Cohen is one of the largest orthopedics practices in the region, with 19 offices in Nassau and Suffolk Counties, Queens, and Staten Island, we have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO.
Full Time, Part Time, or Per Diem Opportunities Available!! Looking to fill for multiple locations and schedules including:
Part-Time Position - Lynbrook Office
*Trainees welcome
**Previous medical receptionist experience is a plus!
Medical Office Receptionist/Front Desk Candidate Attributes:
Medical Office Responsibilities Include:
Multiple locations
**The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, budget and internal equity).**
*We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
If you have any questions, email us at OC-Recruiting@OrlinCohen.com
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Job Types: Full-time, Part-time, Per diem
Pay: $18.00 - $21.00 per hour
Benefits:
Medical Specialty:
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Work Location: In person
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0 Medical Policy Specialist jobs found in Huntington, NY area