Medical Policy Specialist jobs in Bangor, ME

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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Communications Specialist
  • Medcomm - New Englands Medical LLC
  • Bangor, ME FULL_TIME
  •           Call Processing and Dispatching

    1. In accordance with client protocols, receives and process requests for both emergent and non-emergent transports in an accurate and timely manner

    2. Handles all requests for information, either by providing information directly or connecting callers to appropriate resources by phone while adhering to protected health information policies

    3. Maintains timely, concise and legible written communications

    4. Delivers highest quality customer service and care, acting in the best interest of the patient and customers, families and other professionals

    5. Monitors radio communications for updates to vehicle status and uses proper radio etiquette

    6. Read maps accurately and gives appropriate directions

    7. Listens and responds clearly and in an appropriate manner

    8. Respond appropriately to alarm, code and disaster plans according to written policies

     

    Communications

    1. Communicates in a professional manner at all times with employees, customers, public safety agencies and Communication Center clients

    2. Makes proper and timely notifications to supervisory and management staff regarding issues of importance or concern

    3. Offers suggestions for improvement of system through proper channels of communication

    4. Relays thorough and complete shift turnover to relief communications specialist

    5. Demonstrates teamwork and diplomacy

     

    Systems Knowledge and Self-Improvement

    1. Maintains working knowledge of communications consoles, phones and computer systems

    2. Uses knowledge and awareness of available resources to schedule, dispatch and track requests accurately and timely

    3. Maintains required certifications

    4. Attends all mandatory staff and in-service meetings as required

     

     Professionalism

    1. Dresses appropriately as defined in employee handbook and facility guidelines

    2. Reports for assigned shifts on time

    3. Performs additional duties as assigned by management

     

    Sedentary work requiring good manual dexterity. Work involves typing, picking, grasping, occasional stooping, kneeling, crouching, lifting up to 10 lbs., reaching and ability to move about to accomplish tasks. Require repetitive motions of wrists, hands and fingers. Must have excellent hearing and listening skills to receive detailed information through oral communication (via telephone or in person).

     

    Employee subject to indoor environmental conditions. Clean, well-lighted with central heat. Work is performed in close proximity with others. Some noise level from office machines (printers, copiers and telephones) and dispatch/call center equipment.

  • 1 Month Ago

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Medical Laboratory Specialist
  • goarmy.com Recruiting NewEngland
  • Bangor, ME FULL_TIME
  • EDICAL LABORATORY SPECIALIST Overview:As a Medical Laboratory Specialist, you'll have the important responsibility of caring for and aiding in the diagnosis and treatment of the Soldiers. You’ll colle...
  • 17 Days Ago

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Medical Accounts Receivable Specialist
  • Robert Half
  • Seatac, WA OTHER
  • We are currently seeking a diligent Medical Accounts Receivable Clerk to join our vibrant team. The ideal candidate will have a solid understanding of revenue cycle management and will be primarily re...
  • 9 Days Ago

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Application Support Specialist
  • Pen Bay Medical Center
  • Rockland, ME FULL_TIME
  • This is an in-person position located at: 409 Old County Road Rockland, Maine What we do here changes the world. Working together so our communities are the healthiest in America. That’s where you com...
  • 27 Days Ago

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Clinical Abstraction Specialist
  • Pen Bay Medical Center
  • Rockport, ME FULL_TIME
  • Position Summary Responsible to transcribe medical information manually from paper charts into our EMR. Reports to Ambulatory Clinical Education Coordinator. Required Minimum Knowledge, Skills, and Ab...
  • 1 Month Ago

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Clinical Abstraction Specialist
  • Maine Medical Partners
  • Rockport, ME FULL_TIME
  • This Position will have a Hybrid Work Schedule-Located in Rockport, Maine Position Summary Responsible to transcribe medical information manually from paper charts into our EMR. Reports to Ambulatory ...
  • 1 Month Ago

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0 Medical Policy Specialist jobs found in Bangor, ME area

Bangor is located at 44°48′N 68°48′W / 44.8°N 68.8°W / 44.8; -68.8. According to the United States Census Bureau, the city has a total area of 34.59 square miles (89.59 km2), of which 34.26 square miles (88.73 km2) is land and 0.33 square miles (0.85 km2) is water. A potential advantage that has always eluded exploitation is the city's location between the port city of Halifax, Nova Scotia, and the rest of Canada (as well as New York). As early as the 1870s, the city promoted a Halifax-to-New York railroad, via Bangor, as the quickest connection between North America and Europe (when combin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$85,688 to $104,596
Bangor, Maine area prices
were up 1.6% 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