Medical Policy Specialist jobs in New Jersey

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)

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Medical Billing Specialist
  • Ankle & Foot Specialist of NJ
  • South Plainfield, NJ FULL_TIME
  • Ankle & Foot Specialist of NJ is a growing podiatric practice with multiple locations. Established in 2005, we pride ourselves in providing the highest standard of care to our patients with detailed orientation to customer service and quality control.

    We are currently seeking a highly motivated, detail oriented and driven individual with excellent customer service and communication skills. The billing specialist is responsible for -

    * Entering charges accurately to ensure fast payment responses,

    * Ensuring timely management of unpaid claims, and/or denials from insurances and/or clearing house,

    * Correcting claim errors in a timely manner,

    * Researching and appealing denied claims; submit requested documentation as needed,

    * Payment posting in a timely manner,

    * Monthly reports to management and notifying management of any trends identified,

    * Insurance Verifications and prior authorizations,

    * Reviewing patient statements for accuracy

    * Ensuring strict confidentiality of financial records in accordance with HIPAA guidelines

    Skills/Experience

    · Knowledge of medical billing/coding required preferably in Podiatry.

    Company's website:

    • www.Ankle-footSpecialist.com

    Benefit Conditions:

    • Waiting period may apply
    • Only full-time employees eligible

    Work Remotely:

    • No

    This Job Is Ideal for Someone Who Is:

    • Dependable -- more reliable than spontaneous
    • People-oriented -- enjoys interacting with people and working on group projects
    • Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
    • Detail-oriented -- would rather focus on the details of work than the bigger picture
    • Achievement-oriented -- enjoys taking on challenges, even if they might fail
    • Autonomous/Independent -- enjoys working with little direction

    Schedule:

    • Monday to Friday

    Benefits:

    • Health insurance
    • Paid time off

    Job Type: Full-time

    Pay: $28.00 - $35.00 per hour

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Experience:

    • Management: 5 years (Required)

    Work Location: In person

  • 4 Days Ago

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Medical Receptionist
  • Omni Eye Specialist Pa
  • Parsippany, NJ TEMPORARY
  • Job description Essential Duties and Responsibilities: Responsible for completing the check-in/ registration process according to guidelines by; accurately entering all pertinent patient information, ...
  • 18 Days Ago

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Policy and Planning Specialist
  • InfiCare Staffing
  • Trenton, NJ FULL_TIME
  • Policy and PlanningWork Hours: 35 hour/ weekLunch Duration:1hr (unpaid)Duration: 12 monthsWork from office or remote: Hybrid 3 days office 2 days home (Mon/Fri)Report Location (Place of Performance): ...
  • 3 Days Ago

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Policy & Procedures Writing Specialist
  • Coda Search│Staffing
  • Hoboken, NJ TEMPORARY
  • The Policy and Procedure Specialist/Writer is responsible for producing effective written communication on our client's policies, procedures, and guidelines. You will be working with our subject matte...
  • 4 Days Ago

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Disability Policy Specialist
  • Educational Testing Service (ETS)
  • Princeton, NJ FULL_TIME
  • Job Description: About ETS: For more than 75 years, we have amplified products and services based rigorous research and our belief in the power of learning. Driven by our mission to advance quality an...
  • 20 Days Ago

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Policy Specialist (Hybrid)
  • Careers
  • Woodbury, NJ FULL_TIME
  • Who We Are Excess Reinsurance, a market leader in the self-funded medical insurance market, has a full- time position in its busy policy administration department. Policy Specialists process applicati...
  • 20 Days Ago

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(Physician) Medical Specialist 2
  • Office for People with Developmental Disabilities
  • Thiells, NY
  • Job Description Job Description EMPLOYMENT OPPORTUNITY ANNOUNCEMENT EOA #: 23-061RR EOA DATE: March 15, 2024 REPLY BY: S...
  • 6/11/2024 12:00:00 AM

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Medical Specialist
  • U.S. Air Force Reserve
  • Position Summary Our hundreds of medical facilities around the world are only as good as the staff who run them. Providi...
  • 6/10/2024 12:00:00 AM

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Bio Medical Specialist
  • United Health Services
  • Johnson City, NY
  • Bio Medical Specialist, UHS Wilson Medical Center United Health Services is seeking a Bio Medical Specialist to join our...
  • 6/10/2024 12:00:00 AM

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Medical Specialist 2
  • State of New York
  • Tupper Lake, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

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Medical Specialist 1
  • State of New York
  • Tupper Lake, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

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Medical Specialist 2
  • State of New York
  • Thiells, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

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Medical Assistant/ Medication Specialist
  • Nidraveda PA
  • San Antonio, TX
  • Job Description Job Description We are looking for someone with a professional attitude, a dedication to healthcare, and...
  • 6/9/2024 12:00:00 AM

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Certified Medication Specialist
  • Mosaic
  • Beatrice, NE
  • Schedule: Full-Time Days, Evenings, Overnights Part-Time Evenings If making a positive impact in the lives of others is ...
  • 6/8/2024 12:00:00 AM

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$98,488 to $120,214

Medical Policy Specialist in Norfolk, VA
Guideline 9 – specialist medical procedures provides that applications for the separate representation of children with an intellectual impairment in relation to applications for special medical procedures are not subject to the means test or merits test.
February 20, 2020