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)
Why You'll Love This Job
Are you interested in a healthcare job that is in an environment where you can build relationships and make an impact on the patients you serve? If you, bring your exceptional communication and medical billing knowledge to your role as a Medical Claims Payment Processor at MD Billing in Lubbock, TX.
Here you will bring new energy to our medical billing department and work in an environment where you can develop professionally. Plus, you will enjoy a stable schedule that allows you maintain a work-life balance that is rare among healthcare jobs.
Apply to our Medical Claims Payment Processor job today!
Responsibilities
Qualifications
Experience
Job Type: Full-time
Pay: From $16.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Work setting:
Work Location: In person