Medical Policy Specialist
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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 supervis...View More
Find out Job Distribution by:- New Policy Specialist
- Medical Policy Manager
- Policy Change Supervisor
- Medical Billing Specialist
- Medical Staff Credentialing Specialist
- Medical Staff Credentialing Specialist, Sr.
- Drug Safety/Medical Information Specialist I
- Drug Safety/Medical Information Specialist IV
- Drug Safety/Medical Information Specialist II
- Drug Safety/Medical Information Specialist III
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