Medical Policy Specialist jobs in Rock Hill, SC
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)
Recently Added Medical Policy Specialist jobs
Patient Services Specialist
- Southern Medical Management LLC
-
Fort Mill, SC
OTHER
-
Benefits:
- Pay From $15/hr. Based On Experience
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
*Only candidates selected for more information or interviews will be contacted.
This is a full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m.
General Summary of Duties: Under general supervision, the Patient Services Specialist is responsible for handling a variety of administrative duties to facilitate the efficient flow of patients at a clinical office while ensuring a positive patient experience by demonstrating quality customer service skills.
Duties and Responsibilities:- Greets parents/patients arriving for appointments.
- Assists parents with the completion of paperwork for new patients and newborns.
- Verifies insurance for patient appointments.
- Checks the Kiosk daily to ensure proper functioning.
- Assists parents/patients with check in via the Kiosk and monitoring time usage to ensure timely patient flow.
- Monitors incoming faxes and processes and/or distributes as deemed appropriate.
- Faxes documents as required.
- Checks patient schedules daily to ensure accuracy and that necessary paperwork is present.
- Performs Gaps-in-Care communications with parents/patients.
- Answers patient questions and concerns.
- Scans documents into eClinical.
- Assists parents/patients picking up shot records, school excuses, and other paperwork.
- Receives, sorts and distributes mail.
- Performs related duties as required.
Knowledge, Skills and Abilities:- Demonstrate professional customer service skills.
- Ability to communicate effectively both orally and in writing.
- Working knowledge of relevant policies and regulations.
- Ability to flexibly respond to changing demands.
- Works effectively as a team member with physicians and other staff.
- Ability to exercise sound and independent judgment.
- 5 Days Ago
Asset Specialist Distribution Tech PRN Rotating
- Piedmont Medical Center
-
Rock Hill, SC
OTHER
- Asset Specialist Distribution Tech PRN Rotating Position Summary of Responsibilities: Responsible for delivery and retrieval of medical equipment to designated areas and patient care units. Collect so...
- 12 Days Ago
Asset Specialist Distribution Tech FT Days
- Piedmont Medical Center
-
Rock Hill, SC
OTHER
- Asset Specialist Distribution Tech Full Time Days Position Summary of Responsibilities: - Responsible for delivery and retrieval of medical equipment to designated areas and patient care units. - Coll...
- 14 Days Ago
Medical Assistant
- Carolina Medical Partners Pllc
-
Indian, SC
FULL_TIME
- Job Summary We are seeking a Medical Assistant who is skilled and compassionate to join our team. As a Medical Assistant, you will play a crucial role in providing high-quality patient care and suppor...
- 20 Days Ago
Certified medical assistant
- Sandhills Medical Foundation
-
Kershaw, SC
FULL_TIME
- Certified Medical Assistant Position Overview : The Medical Assistant works as part of the medical office team to perform clinical and clerical duties in a clinical setting within the scope of their t...
- 22 Days Ago
Licensed Medical Social Worker
- Medical Services of America
-
Rock Hill, SC
FULL_TIME
- Medical Services of America Hospice , a proud part of the Medical Services of America family currently seeks an experienced Full-Time Medical Social Worker for our Hospice patients in Union/Rock Hill,...
- 26 Days Ago
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0 Medical Policy Specialist jobs found in Rock Hill, SC area
RN Clinical Supervisor ER FT Days
- Tenet Health
-
Fort Mill, SC
- Job Description RN Clinical Supervisor ER Full Time Days Position Summary: The Clinical Supervisor in collaboration with...
- 4/25/2024 12:00:00 AM
RN Oncology Part Time Nights
- Tenet Health
-
Rock Hill, SC
- Job Description This position qualifies for a $10,000 Sign-On Bonus! RN Oncology Part Time Nights Position Summary This ...
- 4/24/2024 12:00:00 AM
Asset Specialist Distribution Tech PRN Rotating
- Tenet Health
-
Rock Hill, SC
- Job Description Asset Specialist Distribution Tech PRN Rotating Position Summary of Responsibilities: Responsible for de...
- 4/24/2024 12:00:00 AM
Psychiatric Mental Health Nurse Practitioner
- Golson Family Services
-
Concord, NC
- Job Description Job Description Benefits/Perks Careers Advancement Opportunities Flexible Scheduling Competitive Compens...
- 4/24/2024 12:00:00 AM
Distribution Tech PRN Days
- Tenet Health
-
Fort Mill, SC
- Job Description Distribution Tech PRN Days Summary of Responsibilities: Assist in coordinating the daily activities of s...
- 4/23/2024 12:00:00 AM
RN Clinical Supervisor CVICU FT Nights
- Tenet Health
-
Rock Hill, SC
- Job Description RN Clinical Supervisor CVICU Full Time Nights Position Summary The Clinical Supervisor in collaboration ...
- 4/23/2024 12:00:00 AM
Nurse Tech Ortho Spine PRN Nights
- Tenet Health
-
Rock Hill, SC
- Job Description Nurse Tech Ortho Spine PRN Nights Position Summary Under the direction of the Nurse, performs sub-profes...
- 4/23/2024 12:00:00 AM
Psychiatric Mental Health Nurse Practitioner
- Golson Family Services
-
Concord, NC
- Job Description Job Description Benefits: Competitive salary Flexible schedule Opportunity for advancement Signing bonus...
- 4/22/2024 12:00:00 AM
About Rock Hill, South Carolina
Rock Hill is the largest city in York County, South Carolina, United States and the fifth-largest city in the state. It is also the fourth-largest city of the Charlotte metropolitan area, behind Charlotte, Concord, and Gastonia (all located in North Carolina, unlike Rock Hill). As of the 2010 Census, the population was 66,154. In 2016, the population had increased to 72,937.
The total population of Rock Hill inside the city limits and outside the city limits as of 2017 was estimated at 117,375 people.
The city is located approximately 25 miles (40 km) south of Charlotte and approximately 70 mi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$86,582 to $105,688
Rock Hill, South Carolina area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Medical Policy Specialist do?
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