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)
Radiology Imaging Center looking for a skilled Billing and Coding Specialist with knowledge in Accounts Receivable Clerk to provide financial, administrative and clerical services.
Must have 1 year of experience in Billing & Coding, Insurance Verification and Prior Authorization.
Must have experience billing all type of Health Insurance, Auto Accident / Workers Compensation.
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Job Type: Full-time
Pay: $15.00 - $18.00 per hour
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Work Location: In person