Medical Policy Specialist jobs in Atlanta, GA

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 Assistant - Douglasville, GA
  • Southeast Dermatology Specialist
  • Douglasville, GA FULL_TIME
  • The Medical Assistant is responsible for providing medical assistance to dermatology physician, including rooming patients, updating all components of the patient’s medical history, documenting reason for visit and history of present illness. Assists the physician with office procedures including, but not limited to, biopsies, surgeries and treatments for various skin conditions.

     

    ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

    • Works as part of a team to see a patient volume of an average of up to 40 patients per day.
    • Basic scribing responsibilities.
    • Takes and documents patient HPI.
    • Updates all patient medical/surgical/family history, medications and allergies
    • Preps and assists numerous surgical procedures such as ED&Cs, shave/punch biopsies, ILK, I&D and others.
    • Preps and assists numerous cosmetic procedures such as Botox, lasers, and others.
    • Preps and assists with excisions or other surgical procedures as needed.
    • Demonstrates strict sterile techniques.
    • Numbs treatment areas as directed.
    • Removes sutures as needed.
    • Logs pathology and transmits pathology orders to appropriate lab.
    • Inputs templates and scribes chart notes as required by physician.
    • Processes RX refills and submits prior authorizations.
    • Operates Narrowband and photodynamic therapy units.
    • Fills liquid nitrogen containers for daily use.
    • Cleans and stocks patient examination rooms and supply areas.
    • Follows infection control practices.
    • Regular and reliable attendance.
    • Perform other duties as assigned.

     

     

    KNOWLEDGE, SKILLS, & ABILITIES:  The requirements listed below are representative of the knowledge, skills and/or abilities required.

     

    Education: High School Diploma or GED

     

    Experience: 0-3 years of medical assistant experience, preferably in dermatology. 

     

    Certifications & Licenses: NA

     

    Technology Applications: Knowledge of Microsoft Office Applications.

     

    PHYSICAL AND MENTAL DEMANDS:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

    While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle or fell objects, tools, or controls; reach with hands and arms; climb stairs; balance, stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell.  The employee must occasionally lift, push, pull and/or move up to 25 pounds.  Repetitive motion of upper body required for extended use of computer.  Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

     

    WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:

    Works in well-lit, ventilated and climate-controlled office environment with routine office equipment; some equipment has moving mechanical parts.

    Noise level in the work environment is typical for an office and/or medical clinic environment.

     

  • 1 Day Ago

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Medical Biller(Bilingual, English/Spanish)
  • Atlanta Hand Specialist
  • Smyrna, GA FULL_TIME
  • Apply to be the newest Medical Biller at Atlanta Hand Specialist. Apply online using the form at the bottom of the page.The Medical Biller at Atlanta Hand Specialist is responsible for the timely subm...
  • 1 Month Ago

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Planning & Policy Development Specialist
  • Georgia state government
  • Atlanta, GA FULL_TIME
  • The Planning Manager leads the Emergency Management Planning Section for the Georgia Emergency Management and Homeland Security Agency (GEMA/HS) which consists of Planners (Levels 1 through 3), the St...
  • 2 Days Ago

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Director of Market Access, Reimbursement and Medical Policy
  • Avanos
  • Alpharetta, GA FULL_TIME
  • Requisition ID: 5847 Job Title: Director of Market Access, Reimbursement and Medical Policy Job Country: United States (US) Here at Avanos Medical, we passionately believe in three things: Making a di...
  • 14 Days Ago

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Medical Records Specialist
  • Pandya Medical Center
  • Duluth, GA FULL_TIME
  • Overview:We are seeking a detail-oriented and organized individual to join our team as a Medical Records Specialist. As a Medical Records Specialist, you will play a crucial role in maintaining accura...
  • 21 Days Ago

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Remote - Enrollment Specialist
  • Enrollment Specialist - CareHarmony
  • Atlanta, GA FULL_TIME
  • CareHarmony is a venture-backed start-up; formed to help physicians thrive in the new era of value-based care by combining the latest advancements in population health technology with 24/7 care coordi...
  • 9 Days Ago

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0 Medical Policy Specialist jobs found in Atlanta, GA area

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Physical Therapist
  • Concentra
  • Hapeville, GA
  • Responsibilities Ensure delivery of high quality patient care services Perform direct patient care, including evaluation...
  • 4/26/2024 12:00:00 AM

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EMT or Paramedic or LPN
  • Grifols
  • Marietta, GA
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/26/2024 12:00:00 AM

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Claims Examiner -Remote
  • Generis Tek Inc
  • Atlanta, GA
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/25/2024 12:00:00 AM

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REMOTE: Medical Director, Utilization Management and Medical Policy
  • Evry Health
  • Atlanta, GA
  • About the Role Evry Health is hiring a tech-savvy Medical Director to lead medical policy and utilization management. As...
  • 4/24/2024 12:00:00 AM

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Family Practice Medicine Physician
  • Buford Family Practice & Urg
  • Buford, GA
  • Job Description Job Description Prescribe or administer treatment, therapy, medication, vaccination, and other specializ...
  • 4/24/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • Atlanta, GA
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/23/2024 12:00:00 AM

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RN-WMG-Endo Medical Specialist-Days
  • Wellstar Medical Specialists
  • Marietta, GA
  • Summary: Ambulatory/Outpatient refers to medical services performed on an outpatient basis, without admission to a hospi...
  • 4/22/2024 12:00:00 AM

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Rehabilitation Medicine - Assistant Professor - SOM
  • Emory University
  • Atlanta, GA
  • Discover Your Career at Emory University: Emory University is a leading research university that fosters excellence and ...
  • 4/22/2024 12:00:00 AM

Atlanta (/ætˈlæntə/) is the capital of, and the most populous city in, the U.S. state of Georgia. With an estimated 2017 population of 486,290, it is also the 38th most-populous city in the United States. The city serves as the cultural and economic center of the Atlanta metropolitan area, home to 5.8 million people and the ninth-largest metropolitan area in the nation. Atlanta is the seat of Fulton County, the most populous county in Georgia. A small portion of the city extends eastward into neighboring DeKalb County. Atlanta was originally founded as the terminating stop of a major state-sp...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$87,566 to $106,889
Atlanta, Georgia area prices
were up 1.4% from a year ago

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