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)
Rapidly growing medical practice seeks full-time Administrative Assistant to join its team of dedicated healthcare professionals.
Job Type/Schedule: This position is full-time requiring approximately 40 hours of work per week (Monday through Friday).
JOB QUALIFICATIONS
MAJOR DUTIES AND RESPONSIBILITIES
integrity of medical records
This position requires candidate to effectively manage and coordinate the entire patient experience from the initial encounter and patient intake through to diagnostic testing, treatment and ongoing care. Candidate is the face of the medical practice to the surrounding community as well as the conduit for communicating needs of referring physicians and their patients to the medical practice.