Medical Policy Specialist jobs in South Carolina

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 2020 Salary.com)

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Mortgage Protection Insurance Sales - 100% Work From Home - 75K++
  • The Jessup Agency
  • Charleston, SC
  • ... policy. Skills and qualifications The ideal candidate is self-motivated and can work from their ... medical, marketing, pest control, alarms, home security, dish network, direct tv, windows, doors ...
  • 3 days ago

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EBO Specialist
  • Receivable Solutions, Inc
  • Columbia, SC
  • Adheres to applicable policies, hospital/physician billing/departmental practices and 3rd party requirements. Company Description Complete A/R Medical Collections Agency
  • 4 days ago

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Medical Scheduling Specialist
  • Receivable Solutions, Inc
  • Columbia, SC
  • The Scheduling Specialist is responsible for scheduling appointments for the client according to ... RSi policies and procedures, as well as local, state and federal regulations, relevant to their ...
  • 4 days ago

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$75,619 to $92,301

Medical Policy Specialist in Addison, TX
Prepares and disburses all daily reconsiderations to appropriate carrier or third party administrator.
March 15, 2020
Prepares status report of all reconsiderations.
February 12, 2020
Monitors discrepancies and makes needed adjustments.
February 05, 2020