Medical Policy Specialist jobs in Rhode Island

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)

R
Kitchen Designer/Sales Consultant
  • RIHI The Kitchen and Bath Specialist
  • Warwick, RI FULL_TIME
  • In-Home sales: Kitchen Designer

    RIHI is a full-service Kitchen and Bath Remodeling company specializing in residential remodeling. We have been family-owned and operated for 75 years. Our mantra is to give our customers a red carpet experience paired with the care-free, start-to-finish process we are known for.

    Due to high demand, we are currently seeking two experienced, professional Kitchen Designers to join our team. This is a full-time position offering Top compensation, including salary, commissions, bonuses, and an extensive benefits package. The income potential is $175,000 with commission.

    Qualified candidates must successfully guide our customers through their kitchen remodeling projects. The kitchen designer will work closely with customers to assess their needs, answer questions, provide a great design experience, and close the sale.

    Qualifications:

    • Prior in-home kitchen sales experience
    • Must have good communication skills.
    • Strong design skills with an eye for creativity.
    • Ability to design in ProKitchen or 20/20 software.
    • Possess good computer skills.
    • Must have the ability to measure, design, and sell kitchen remodels.


    We Offer:

    • Professional training.
    • Pre-qualified and confirmed appointments.
    • Excellent compensation program with generous bonuses.
    • Top benefits package includes 401k, Health, Disability, and Life insurance.
    • High energy, positive attitude environment.
    • We'll provide the opportunity to go anywhere your potential will take you.



    .

     

  • 16 Days Ago

T
Policy Administrator
  • TEKsystems
  • North, RI FULL_TIME
  • Job Description:Performs administrative functions required for servicing of insured policy, certificate issue, and premium billing/collectionProcess enrollment, terminations, plan changes, census chan...
  • 2 Days Ago

S
Medical Billing and Collection Specialist
  • Saint Elizabeth Community
  • East Greenwich, RI FULL_TIME
  • Medical Billing and Collection Specialist Full-Time Days Experience our Mission of Caring and Superior Staffing Ratios Work in an environment where our co-workers and those in our care are treatedJust...
  • 19 Days Ago

Q
Medical Transport Specialist / Driver
  • Quest Diagnostics
  • Johnston, RI FULL_TIME
  • Overview Medical Transport Specialist / Driver Johnston, RI - Monday-Friday 5:00pm-1:30am We will provide you a career with a leader in the healthcare industry, by offering a wide variety of opportuni...
  • 5 Days Ago

M
Medical/Medicaid billing Specialist
  • Meetcaregivers
  • Providence, RI PART_TIME,CONTRACTOR
  • We are seeking a skilled and detail-oriented Medical Biller/expert to join our team. As a Medical Biller, you will be responsible for accurately coding and billing home care services.Important to know...
  • 1 Month Ago

Z
Documentation Specialist II
  • Zoll Medical Corporation
  • Rumford, RI FULL_TIME
  • Documentation Specialist II Locations: Rumford, RI, United States of America; Placeholder, MA, United States of America; Placeholder, RI, United States of America; Remote, WI, United States of America...
  • 20 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$93,380 to $113,986

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