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)
New England Medical Billing is seeking a detail-oriented, reliable and independent worker with a minimum of 1-2 years experience with insurance follow up and denial management to assist with accounts receivable follow up for a high volume surgical practice.
Duties include all aspects of medical, third party billing, including but not limited to: charge entry, registration updates, payment collection, answering phone calls, assisting with patients, claims follow up.
Job Requirements:
· Must possess strong organizational skills, be detail oriented and self motivated, and have excellent verbal and written communication skills.
· Previous experience in physician billing, surgical preferred.
· Knowledge of CPT, modifiers and ICD-10 codes necessary.
· Computer knowledge: Microsoft Word & Excel, Billing software (IDX preferred), EMR knowledge.
Health, dental and retirement available. Salary commensurate with experience. Qualified applicants should submit a cover letter with salary requirements
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Benefits:
Schedule:
Education:
Experience:
Work Location: In person