Medical Policy Specialist jobs in Gastonia, 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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Chiropractic/Medical Billing Specialist
  • Lake Wylie Wellness and Chiropractic Center
  • Clover, SC PART_TIME
  • We are looking for an enthusiastic, hard working, friendly individual to join our team. The job would be about 20 hours per week. It would involve some front desk and billing duties. The hours would include a Friday afternoon, a Monday or Wednesday afternoon and some Saturdays.

    Job Type: Part-time

    Pay: $16.00 - $19.00 per hour

    Benefits:

    • Flexible schedule

    Schedule:

    • Choose your own hours

    Work setting:

    • Private practice

    Work Location: In person

  • 9 Days Ago

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Medical Billing Specialist for AR
  • Carolina ENT-Sinus and Allergy Center, P.A.
  • Hickory, NC FULL_TIME
  • POSITION SUMMARY: The Billing Office AR Specialist 3 will undertake a variety of financial and non-financial tasks to help guarantee the company’s revenues. RESPONSIBILITIES: Post all unassigned payme...
  • 5 Days Ago

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Medical Records Specialist
  • CaroMont Health
  • Gastonia, NC FULL_TIME
  • Job Summary: Responsible for assisting with all facets of the medical record system. Works with the MR Coordinator to ensure medical record compliance. Qualifications: High school diploma or equivalen...
  • 25 Days Ago

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Medical Billing Specialist
  • Senior Living
  • Hickory, NC FULL_TIME
  • About our community We provide management services to exceptional assisted living communities, personalizing in the approach of ensuring every resident has their specific needs met at every stage. We ...
  • 2 Months Ago

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IT Support Specialist
  • Medical Supply Solutions
  • Hickory, NC FULL_TIME
  • About UsWe are a leading distributor for furniture in the Long-term care market. We provide furniture that includes complete dining room, office, living, common area, and bedroom furniture across the ...
  • 23 Days Ago

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Operating Room Charge Review Specialist PRN
  • Frye Regional Medical Center
  • Hickory, NC PER_DIEM
  • Job SummaryThe Operating Room Charge Review Specialist is responsible for ensuring accuracy and completeness in the billing process related to operating room procedures and charges. They meticulously ...
  • 8 Days Ago

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0 Medical Policy Specialist jobs found in Gastonia, 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 ...
  • 4/18/2024 12:00:00 AM

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Distribution Tech PRN Days
  • Tenet Health
  • Fort Mill, SC
  • Job Description Distribution Tech PRN Days Summary of Responsibilities: Assist in coordinating the daily activities of s...
  • 4/18/2024 12:00:00 AM

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Courier FT Evenings
  • Tenet Health
  • Rock Hill, SC
  • Job Description Courier Full Time Evenings Position Summary Performs pickup and delivery service for the hospital and do...
  • 4/18/2024 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...
  • 4/17/2024 12:00:00 AM

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RN Clinical Supervisor ER FT Days
  • Tenet Health
  • Fort Mill, SC
  • Job Description RN Clinical Supervisor ER Full Time Days Position Summary: The Clinical Supervisor in collaboration with...
  • 4/15/2024 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...
  • 4/14/2024 12:00:00 AM

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RN Oncology Part Time Nights
  • Tenet Health
  • Rock Hill, SC
  • Job Description This position qualifies for a $10,000 Sign-On Bonus! RN Oncology Part Time Nights Position Summary This ...
  • 4/14/2024 12:00:00 AM

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Asset Specialist Distribution Tech PRN Rotating
  • Tenet Health
  • Rock Hill, SC
  • Job Description Asset Specialist Distribution Tech PRN Rotating Position Summary of Responsibilities: Responsible for de...
  • 4/14/2024 12:00:00 AM

Gastonia is the largest city in and county seat of Gaston County, North Carolina, United States. It is also the second largest satellite city of the Charlotte area, behind Concord. The population was 71,741 at the 2010 Census. In 2016, the population had increased to 75,536. Gastonia is the 13th largest city in North Carolina. It is part of the Charlotte metropolitan area, officially designated the Charlotte Metropolitan Statistical Area (MSA). Gastonia has experienced steady growth, with a population increase between 2000 and 2010 of nearly 8.2%, according to the U.S. Census Bureau. According...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$86,672 to $105,797
Gastonia, 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