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)
Description
Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations. We are seeking talented professionals who can support the business and help it achieve its strategic objectives.
The Certified Medical Assistant facilitates patient care in a team-based environment. Excellent communication and customer service skills are required to provide a coordinated and high-quality customer service experience. The Medical Assistant will work with Providers and other team members to provide a broad array of patient services and can perform multiple tasks in a fast-paced environment. M-F Schedule. No Weekends. No Evenings. Must be willing to travel to nearby clinics on certain days as requested.
Benefits:
Detailed Responsibilities and Essential Functions
Requirements
Core Competencies
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. This position is active and requires standing, walking, bending, kneeling, stooping, crouching, crawling, and climbing. The employee must frequently lift and/or move items over 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Applicants and new hires may request reasonable accommodations.
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