Medical Policy Specialist jobs in Gainesville, FL

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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Client Service Representative
  • Community Care Veterinary Specialist
  • Gainesville, FL FULL_TIME
  • Responsibilities
    • Our CSRs are the first touchpoint to client interactions and provide exceptional customer service during every step of a visit to CCVS
    • The CSR handles in person, email and telephone interaction, maintenance of veterinary medical records, accounts maintenance, cash processing, data entry, word processing and mail services
    • Respond quickly and calmly to crisis while maintaining a high standard of client care
    • Communication: Convey messages to clients and teammates to ensure successful patient and client care
    • Patience & Compassion: Remain professional while still ensuring doctors, teammates, clients, and patients feel as comfortable as possible regardless of the situation or challenges presented

    This position participates in weekend and holiday rotations.

    Core Values:
    • Collaboration
    • Courage
    • Growth Mindset.
    • Respect.
    • Gratitude.

    Benefits
    We offer competitive salaries and a generous benefit package that includes:
    • Medical
    • Dental
    • PTO
    • A matching IRA
    • Last but not least we can offer a flexible schedule so you will have the opportunity to enjoy life outside of veterinary medicine

    Qualifications
    High school diploma or equivalent and one year relevant experience

    Where are we?
    What if we could create a community of supportive veterinary professionals that collectively used their individual strengths to contribute to the care of all pets? One where animal welfare is elevated by the supportive relationships between our local general practices and the best specialty care available? Our vision for a different kind of specialty hospital was inspired by numerous discussions of the ongoing shortage of specialty services and the need for a real connection between specialists, general practitioners and our patients. Community Care Veterinary Specialists, in beautiful Gainesville, Florida, is a privately owned small animal speciality hospital in North Central Florida. 
  • 19 Days Ago

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Overnight Emergency Critical Care Technician (FT)
  • Community Care Veterinary Specialist
  • Gainesville, FL FULL_TIME
  • Come find out more about us! https://www.ccvetspecialists.com/ We are seeking a Full-time Veterinary Technician to join our team. This person will be responsible for managing overnight care for patien...
  • Just Posted

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Overnight Emergency Critical Care Technician
  • Community Care Veterinary Specialist
  • Gainesville, FL FULL_TIME
  • Come find out more about us! https://www.ccvetspecialists.com/ We are seeking a Full-time Veterinary Technician to join our team. This person will be responsible for managing overnight care for patien...
  • 20 Days Ago

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Physician Hospitalist -Lee Health Cape Coral
  • Advanced Care Specialist
  • Ocala, FL FULL_TIME
  • Job Summary:The Hospitalist is expected to provide clinical care for patients admitted at our affiliated hospitals, provide support to our surgical and specialty services through consultative general ...
  • 4 Days Ago

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Technical Operational Manager (FT)
  • Community Care Veterinary Specialist
  • Gainesville, FL FULL_TIME
  • What if we could create a community of supportive veterinary professionals that collectively used their individual strengths to contribute to the care of all pets? One where animal welfare is elevated...
  • 12 Days Ago

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Technical Operational Manager (FT)
  • Community Care Veterinary Specialist
  • Gainesville, FL FULL_TIME
  • What if we could create a community of supportive veterinary professionals that collectively used their individual strengths to contribute to the care of all pets? One where animal welfare is elevated...
  • 12 Days Ago

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0 Medical Policy Specialist jobs found in Gainesville, FL area

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Medical Records Front Desk Customer Service (Gainesville) M-F 8am-5pm
  • Iron Mountain
  • Gainesville, FL
  • At Iron Mountain we know that work, when done well, makes a positive impact for our customers, our employees, and our pl...
  • 4/22/2024 12:00:00 AM

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Digital Advertising Specialist
  • The Collier Companies
  • Gainesville, FL
  • The Collier Companies is seeking a Digital Advertising Specialist! This is an on-site role, reporting out of The Collier...
  • 4/22/2024 12:00:00 AM

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Travel Nurse RN - Long Term Acute Care - $1,602 per week
  • Hiring Now!
  • Gainesville, FL
  • OneStaff Medical is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Gainesville, Florida. Job...
  • 4/22/2024 12:00:00 AM

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Community and Societal Pediatrics, Complex Care Provider -CLIN AST/ASO/FULL PROF
  • University of Florida
  • Gainesville, FL
  • Classification Title: CLIN AST/ASO/FULL PROF Job Description: The Department of Pediatrics at the University of Florida ...
  • 4/19/2024 12:00:00 AM

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Service Technician in Gainesville, FL - Independent Self Starter
  • The Collier Companies
  • Gainesville, FL
  • Job Details Level Management Job Location Home Office - Gainesville, FL Position Type Full Time Description The Collier ...
  • 4/19/2024 12:00:00 AM

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Retail Sales Associate, Full Time (Customer Operations) - Butler Plaza West
  • The Gap
  • Gainesville, FL
  • About Old Navy Forget what you know about old-school industry rules. When you work at Old Navy, you're choosing a differ...
  • 4/19/2024 12:00:00 AM

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Clinical ASO/AST/Full Professor - OBGYN - Academic Specialists in General Obstetrics and Gynecology
  • University of Florida
  • Gainesville, FL
  • Classification Title: Clinical ASO/AST/Full Professor Job Description: Responsibilities include direct clinical care and...
  • 4/18/2024 12:00:00 AM

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Cardiologist Critical Care Intensivist - Clinical Assistant, Associate, Full Professor
  • University of Florida
  • Gainesville, FL
  • Classification Title: CLIN AST/ASO/FULL PROF Job Description: The Cardiovascular Center at the University of Florida, Co...
  • 4/18/2024 12:00:00 AM

Gainesville is located at 29°39'55" North, 82°20'10" West (29.665245, −82.336097), which is roughly the same latitude as Houston, Texas. According to the United States Census Bureau, the city has a total area of 62.4 square miles (161.6 km2), of which 61.3 square miles (158.8 km2) is land and 1.1 square miles (2.8 km2) is water. The total area is 1.74% water. Gainesville's tree canopy is both dense and species rich, including broadleaf evergreens, conifers, and deciduous species; the city has been recognized by the National Arbor Day Foundation every year since 1982 as a "Tree City, USA". Gain...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$80,947 to $98,810
Gainesville, Florida 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