Medical Policy Specialist jobs in Charlotte, NC

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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Policy Services Specialist
  • Amwins Special Risk Underwriters, LLC
  • Charlotte, NC FULL_TIME
  • AmwinsSpecial Risk Underwriters, Amwins Group's in-house Managing General Agent, is looking for aPolicy Services Specialistto join the team in their Charlotte, NC office.This position will be responsible for policy issuance. By providing support as part of team working with Property Underwriters in the group, our Underwriting Assistants are an essential part the success of our firm.

    Amwinsis the industry leader because we hold ourselves accountable to deliver results – for our employees, our clients, our markets and our shareholders.

    We've built a workplace where talent is valued, and success is celebrated. With a focus on service, to our clients as well as our communities, our culture is defined by supporting eachother. In this team-driven environment,Amwinscreates the perfect place for you to grow your career with built in support and opportunity to advance your knowledge base.

    AtAmwins, our people are our greatest asset. We hire the best talent in the industry and provide our employees with the tools to deliver innovative insurance solutions. We believe thatby taking care of our employees, they will take care of our clients and the cycle will perpetuate.

    Join ourCharlotte, NCteam as aPolicy Services Specialist.

    To the qualified candidate we offer:

    • Compensation including competitive salary, commensurate with experience
    • Full benefit package including: Medical, Dental, Life, Disability and 401(k)
    • Collaborative, continuing education focused work environment
    • Generous Paid Time Off (PTO) with Vacation and Personal days

    OurPolicy IssuanceUnderwriting AssistantProvide:

    • Data Entry into multiple internet based systems
    • Use Microsoft Office software, (e.g. Outlook, Word and Excel)
    • Answer incoming calls
    • Make and follow through with request for missing information from outside sources
    • Multi-Tasking
    Requirements:

    We are looking for people with:

    • Excellent computer skills including typing proficiency, Microsoft Office proficiency with an emphasis in Excel spreadsheets
    • Strong written and verbal communication skills
    • High-level of motivation
    • Ability to prioritize important and pressing tasks
    • Innate organizational skills, willingness to take on challenges, and focus on personal responsibility
    • Insurance experience a preferred, but not required
  • 1 Month Ago

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Policy Services Specialist
  • Amwins Group, Inc.
  • Charlotte, NC FULL_TIME
  • Amwins Special Risk Underwriters, Amwins Group's in-house Managing General Agent, is looking for a Policy Services Specialist to join the team in their Charlotte, NC office. This position will be resp...
  • 29 Days Ago

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Senior Credit Risk Specialist – Consumer Credit Policy Adherence & Governance Execution
  • Wells Fargo
  • CHARLOTTE, NC FULL_TIME
  • About this role:Wells Fargo is seeking a Senior Credit Risk Specialist to be part of Wells Fargo's second line of defense and Independent Risk Management team, covers jobs which lead the design and ma...
  • 14 Days Ago

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Credit Risk Specialist (Documentation Control) - Wholesale Credit Policy Governance and Publishing
  • Wells Fargo
  • CHARLOTTE, NC FULL_TIME
  • About this role:We are seeking highly motivated credit professionals to enable the rationalization and maintenance of wholesale credit policies, while:Supporting line of business credit risk governanc...
  • 30 Days Ago

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Clinical Specialist - Greenville NC
  • Saluda Medical
  • Charlotte, NC FULL_TIME
  • Saluda Medical is the pioneer in closed-loop Spinal Cord Stimulation (SCS), a ground-breaking SCS therapy that can measure the spinal cord’s response to stimulation and make real-time adjustments to t...
  • 2 Days Ago

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Clinical Specialist - Greenville / Charlotte NC
  • Saluda Medical
  • Charlotte, NC OTHER
  • Saluda Medical is the pioneer in closed-loop Spinal Cord Stimulation (SCS), a ground-breaking SCS therapy that can measure the spinal cord’s response to stimulation and make real-time adjustments to t...
  • 22 Days Ago

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0 Medical Policy Specialist jobs found in Charlotte, NC area

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Claims Examiner -Remote
  • Generis Tek Inc
  • Charlotte, NC
  • 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
  • Charlotte, NC
  • 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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Physician Assistant - Government Contract - Fayetteville, NC
  • Valor Healthcare
  • Charlotte, NC
  • Description About Us Valor Healthcare is a veteran and physician-led provider of healthcare services for deserving, resi...
  • 4/24/2024 12:00:00 AM

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Psychiatric Mental Health Nurse Practitioner
  • Golson Family Services
  • Concord, NC
  • Job Description Job Description Benefits/Perks Careers Advancement Opportunities Flexible Scheduling Competitive Compens...
  • 4/24/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • Charlotte, NC
  • 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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Registered Nurse (RN) - Neuro ICU - $32-58 per hour
  • Hiring Now!
  • Charlotte, NC
  • Atrium Health is seeking a Registered Nurse (RN) Neuro ICU for a nursing job in Charlotte, North Carolina. Job Descripti...
  • 4/23/2024 12:00:00 AM

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Psychiatric Mental Health Nurse Practitioner
  • Golson Family Services
  • Concord, NC
  • Job Description Job Description Benefits: Competitive salary Flexible schedule Opportunity for advancement Signing bonus...
  • 4/22/2024 12:00:00 AM

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Registered Nurse (RN) - Research / Clinical Research - $32-58 per hour
  • Hiring Now!
  • Charlotte, NC
  • Atrium Health is seeking a Registered Nurse (RN) Research / Clinical Research for a nursing job in Charlotte, North Caro...
  • 4/22/2024 12:00:00 AM

Charlotte (/ˈʃɑːrlət/) is the most populous city in the U.S. state of North Carolina. Located in the Piedmont, it is the county seat of Mecklenburg County. In 2017, the U.S. Census Bureau estimated the population was 859,035, making it the 17th-most populous city in the United States. The Charlotte metropolitan area's population ranks 22nd in the U.S., and had a 2016 population of 2,474,314. The Charlotte metropolitan area is part of a sixteen-county market region or combined statistical area with a 2016 census-estimated population of 2,632,249. Between 2004 and 2014, Charlotte was ranked as...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$86,761 to $105,907
Charlotte, North Carolina area prices
were up 1.5% 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