Medical Policy Specialist jobs in Clarksville, 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)
Recently Added Medical Policy Specialist jobs
Lead IT Specialist (Policy and Planning/Security)
- Army Installation Management Command
-
Fort Campbell, KY
FULL_TIME
-
Please limit your resume to 5 pages. If more than 5 pages are submitted, only the first 5 pages will be reviewed to determine your eligibility/qualifications.
About the Position: This position is located with the Directorate of Plans, Training, Moblization, & Security Kinnard Mission Training Complex on Fort Campbell, KY. Fort Campbell lies on the Kentucky/Tennessee border between Hopkinsville, KY & Clarksville, TN about 45 miles NW of Nashville. - 10 Days Ago
Medical Records Administration Specialist
- US Military Treatment Facilities under DHA
-
Fort Campbell, KY
FULL_TIME
- Duties Review medical records to ensure all diagnoses and procedures are properly coded and documented. Ensure medical records are coded according to program and regulatory requirements and guidelines...
- 3 Days Ago
Pre-Registration Specialist
- Henry County Medical Center
-
Paris, TN
OTHER
- Job Details Job Location: Henry County Medical Center - Paris, TN Position Type: FT 80 Education Level: High School/GED Salary Range: Undisclosed Travel Percentage: None Job Shift: Days Job Category: ...
- 27 Days Ago
Medical Site Credentialing Specialist- 1099 Contract
- United Language Group
-
Waverly, TN
FULL_TIME
- Summary - Flexible Contractor/Freelance Opportunity 1099 IMMEDIATE NEED This is not a full-time or part-time job. This is not a set-scheduled job opportunity. The Medical Site credentialing Specialist...
- 17 Days Ago
Medical Director
- Theoria Medical
-
Clarksville, TN
FULL_TIME
- Position Type: Part-time, exempt Compensation: Up to $400,000 annually monthly Medical Director Stipend Job Highlights Work-Life Balance: Competitive compensation with balanced hours. Weekend & On-Cal...
- 23 Days Ago
Medical Director
- Theoria Medical
-
Dickson, TN
FULL_TIME
- *****APPLY TODAY***** Company Overview Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute ca...
- 1 Month Ago
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0 Medical Policy Specialist jobs found in Clarksville, TN area
Claims Examiner -Remote
- Generis Tek Inc
-
Nashville, TN
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/25/2024 12:00:00 AM
Obstetrics and Gynecology Physician
- Nashville General Hospital
-
Nashville, TN
- Position Summary: The OBGYN Physician will provide comprehensive primary and urgent care to an ethnically and socially d...
- 4/25/2024 12:00:00 AM
Medical Science Liaison Allergy / Derm Tennessee Remote
- Careerbuilder
-
Nashville, TN
- Medical Science Liaison Allergy / Derm Tennessee Remote Job ID 394553BR Mar 15, 2024 USA About the Role The Medical Scie...
- 4/25/2024 12:00:00 AM
REMOTE: Medical Director, Utilization Management and Medical Policy
- Evry Health
-
Nashville, TN
- 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
Merchandiser/Cashier
- O'Reilly Auto Parts
-
Clarksville, TN
- Greet customers on sales floor, directs them to product or to parts specialist. Check out customers and deter shoplifter...
- 4/24/2024 12:00:00 AM
Obstetrics and Gynecology Physician
- Nashville General Hospital
-
Nashville, TN
- Position Summary: The OBGYN Physician will provide comprehensive primary and urgent care to an ethnically and socially d...
- 4/23/2024 12:00:00 AM
Claims Examiner –Remote
- Generis Tek Inc
-
Nashville, TN
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
Field Application Specialist - HammerHead
- The Toro Company
-
Clarksville, TN
- Typical Starting Pay: $80,000-$105,000, plus bonuses. What Can We Give You? Medical, Dental, Vision, 401K Matching up to...
- 4/23/2024 12:00:00 AM
About Clarksville, Tennessee
Clarksville is the county seat of Montgomery County, Tennessee, United States. It is the fifth-largest city in the state behind Nashville, Memphis, Knoxville, and Chattanooga. The city had a population of 132,929 at the 2010 census, and an estimated population of 153,205 in 2017.
It is the principal central city of the Clarksville, TN–KY metropolitan statistical area, which consists of Montgomery and Stewart Counties in Tennessee, and Christian and Trigg Counties in Kentucky.
The city was founded in 1785 and incorporated in 1807, and named for General George Rogers Clark, frontier fighter and ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$80,768 to $98,591
Clarksville, Tennessee area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Medical Policy Specialist do?
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