Medical Policy Specialist jobs in Chattanooga, TN

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 Collections Specialist
  • Parkridge Medical Center
  • Chattanooga, TN FULL_TIME
  • THIS IS A WORK FROM HOME POSITION

    SCHEDULE REQUIRES 1 Saturday per month and 1 Evening per week(up to 9:00 PM).

    Introduction

    Do you have the career opportunities as a Medical Collections Specialist you want with your current employer? We have an exciting opportunity for you to join Work from Home which is part of the nation's leading provider of healthcare services, HCA Healthcare.

    Benefits

    Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

    • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
    • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
    • Free counseling services and resources for emotional, physical and financial wellbeing
    • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
    • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
    • Family support through fertility and family building benefits with Progyny and adoption assistance.
    • Referral services for child, elder and pet care, home and auto repair, event planning and more
    • Consumer discounts through Abenity and Consumer Discounts
    • Retirement readiness, rollover assistance services and preferred banking partnerships
    • Education assistance (tuition, student loan, certification support, dependent scholarships)
    • Colleague recognition program
    • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
    • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

    Learn more about Employee Benefits

    Note: Eligibility for benefits may vary by location.

    Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Medical Collections Specialist where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

    Job Summary and Qualifications


    As a Collections Specialist you will be responsible for outbound calls with account follow-up and resolution of patient receivables. You will be responsible for transferring calls to the appropriate team members. You will provide excellent customer service. This is a virtual role.


    What you will do in this role:


    • Referring calls/accounts to appropriate parties based on customer inquiries. You will spend 90% of your day on the phone.
    • Identify problem accounts and escalate as appropriate.
    • Update the patient account record to identify actions taken on the account.
    • Work with patients and guarantors to secure payment on outstanding account balances.
    • Maintain minimum production standards.
    • Achieve passing quality review scores per unit requirements.
    • Produce acceptable unit collection volumes.
    • Work within company attendance guidelines.
    • Provide excellent customer service.
    • Work with other team members and management in a professional manner.


    Qualifications


    • High School Graduate or GED preferred
    • Previous Call Center experience preferred
    • Minimum one-year related experience preferred, preferably in healthcare.
    • Experience with collections in healthcare revenue space is preferred.
    • You will be required to work One Saturday per month and One Evening per week.
    • This is a work from home position that requires high-speed internet with 25 MB Download and 6 MB Upload. Wifi is not permitted.
    • BILINGUAL is not required, but a plus


    Parallon
    provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.


    HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

    "


    "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder

    If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Collections Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

    We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

  • 1 Month Ago

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Clinical Specialist - Chattanooga TN
  • Saluda Medical
  • Chattanooga, TN 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...
  • 21 Days Ago

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Accreditation Specialist
  • Hamilton Medical Center Inc
  • Dalton, GA FULL_TIME
  • JOB SUMMARY This individual has a broad scope of responsibilities and works under the direction of the Director and the Accreditation Coordinator. The Accreditation Specialist serves as a resource and...
  • 17 Days Ago

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Medical Records Specialist
  • East TN Behavioral Health
  • Chattanooga, TN PART_TIME
  • Essential Functions: Prepare and assemble medical records. · Organize and analyze medical records for accuracy and completeness. · Identify, track and enter practitioner deficiencies in Medhost. · Pul...
  • 17 Days Ago

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Medical Billing and Coding Specialist
  • SpotlightStaff.com
  • Chattanooga, TN FULL_TIME
  • Job Summary: We are seeking a skilled and detail-oriented Medical Biller to join our team. As a Medical Biller, you will be responsible for accurately coding and billing medical procedures, ensuring t...
  • Just Posted

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Medical Claims Specialist
  • SpotlightStaff.com
  • Rossville, GA FULL_TIME
  • Job Overview: We are seeking a detail-oriented and experienced Claims Specialist to join our team. As a Claims Specialist, you will be responsible for processing and managing medical claims in a timel...
  • 2 Days Ago

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0 Medical Policy Specialist jobs found in Chattanooga, TN area

According to the United States Census Bureau, the city has a total area of 144.6 square miles (374.4 km2), of which 137.1 square miles (355.2 km2) are land and 7.4 square miles (19.2 km2), or 5.12%, are water. The most prominent natural features in and around Chattanooga are the Tennessee River and the surrounding mountains. The city is nestled between the southwestern Ridge-and-valley Appalachians and the foot of Walden's Ridge; the river separates the ridge from the western side of downtown. Several miles east, the city is bisected by Missionary Ridge. The Tennessee River is impounded by th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$81,305 to $99,247
Chattanooga, Tennessee area prices
were up 1.3% 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