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)
MUST HAVE A MINIMUM OF 2 YEARS OF RECENT EXPERIENCE
We are looking for a person to join our team. This is not a remote position. A dedicated professional Medical Biller and/or Coder to handle the administrative responsibilities of coding and billing medical claims. No certification is required but must be able to demostrate positive written/verbal communication skills. Must be good at data entry or have a proven work experience as a Medical Biller/Coder or similar. Must have the ability to multitask and manage time effectively with minimum supervison. Must have great personality and easy to get along with others.
Job Type: Full-time
Pay: From $14.00 per hour
Expected hours: 40 per week
Benefits:
Healthcare setting:
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Schedule:
Work Location: In person