Medical Policy Specialist jobs in Huntington, NY
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
Regulatory Policy & Process Compliance Specialist
- Telephonics Corporation
-
Farmingdale, NY
FULL_TIME
- TTM Technologies, Inc. – Publicly Traded US Company, NASDAQ (TTMI) – Top-5 Global Printed Circuit Board Manufacturer About TTM TTM Technologies, Inc. is a leading global manufacturer of technology solutions including engineered systems, radio frequency (“RF”) components and RF microwave/microelectronic assemblies, and quick-turn and technologically advanced printed circuit boards (“PCBs”). TTM stands for time-to-market, representing how TTM's time-critical, one-stop manufacturing services enable customers to shorten the time required to develop new products and bring them to market. Additional information can be found at www.ttm.com Position Summary: Supports the maintenance of the companies documented information system and assists in the internal assessment of processes & business systems throughout the company in accordance with the documented business processes. Supports Government audits of the company’s business systems. Duties and Responsibilities: Include the following and perform other duties as assigned. Documented Information System Supports the maintenance of the companies SharePoint system to manage documentation to ensure full compliance with AS9100 requirements in accordance with the companies document control process (PAP 9027) Supports the document change control process Regulates the change process so that only approved and validated changes are incorporated into released product documentation Ensures accuracy by reviewing design release documents for completeness, proper authorization and system updates Assists in procedure reviews and facilitating procedure updates with process owners Collaborate with cross-functional departments to ensure timely implementation of change requests Support audits (internal, external, 3rd party) in order to verify that regulatory and financial requirements are achieved Assessment and Support Activities Assists in business system assessments using existing checklists and processes to ensure system compliance with all statutory and regulatory requirements Identify risk areas, potential gaps and/or deficiencies as a result of completed audits and reviews Assists in the planning and execution of various annual or quarterly submissions as required by the Government Assists in hosting Government Audits in all company facilities Assist in responding to Customer Audits and Surveys Assist in the generation and presentation of assessment findings to sr. and executive management Actively participate in process improvement groups Ability to communicate effectively with personnel at various levels to address both financial and management issues Essential Knowledge and Skills: Some knowledge of Cost Accounting Standards (CAS) and Federal Acquisition Regulations (FAR), Defense Federal Acquisition Supplement (DFARS) requirements is a plus Knowledge of US GAAP (Generally Accepted Accounting Principles) is a plus Excellent written and verbal communication skills Proficient in Microsoft Word, Excel, PowerPoint and Visio. Knowledge of Adobe Acrobat Ability to professionally interact with all levels of management. Ability to maintain a consistently high level of attention to detail Ability to organize and direct a project to completion Time management skills and meet project deadlines Ability to multitask Occasional travel requiring overnight stays may be required Required Education and Experience: Education: Bachelor’s degree in Business Administration, Accounting or related fields preferred. Experience: 1-3 years of related experience and/or training; or equivalent combination of education and experience. #LIPG Compensation and Benefits: TTM offers a variety of health and well-being benefit programs. Benefit options include medical, dental, vision, 401k, flexible spending and health savings accounts, accident benefits, life insurance, disability benefits, paid vacation & holidays. Benefits are available on the 1st of the month following date of hire. For some positions, only PTO and holiday benefits are offered. Compensation ranges for roles at TTM Technologies varies depending on a wide array of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At TTM Technologies, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on each individual set of circumstances. A reasonable estimate of the current range is: $61,524 - $102,541 Additional compensation: An annual or quarterly company bonus may apply based on position assignment. Positions hired for alternative shift may be eligible for a shift premium based on the assigned shift and location. Export Statement: Must comply with TTM Export Control Policies and Procedures and all applicable laws including ITAR, EAR and OFAC including but not limited to: a) being able to identify ITAR product on the manufacturing floor and understand that access to these products and related technical data is restricted to only US Citizens and US Permanent Residents; b) recognition of Foreign Person visitors by badge differentiation; c) understand and follow authorization procedures for bringing foreign visitors into facilities (VAL); d) understand the Export and ITAR requirements for shipments leaving the US; e) manage vendor approvals for ITAR manufacturing and services. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability or protected veteran status. TTM is always looking for top talent. Please let us know about yourself and we will connect with you about future opportunities. TTM Technologies, Inc. is a leading global manufacturer of technology solutions including engineered systems, radio frequency (“RF”) components and RF microwave/microelectronic assemblies, and quick-turn and technologically advanced printed circuit boards (“PCBs”). TTM stands for time-to-market, representing how TTM's time-critical, one-stop manufacturing services enable customers to shorten the time required to develop new products and bring them to market.
- 17 Days Ago
Medical Collections Specialist
- United Medical Monitoring
-
Melville, NY
FULL_TIME
- Busy Intraoperative Neurophysiological monitoring practice seeks a Medical Payment Collector. Responsibilities: Monitor aging reports for assigned insurance carriers Calling insurers to initiate settl...
- 1 Month Ago
Social Media Specialist
- Youthology Medical
-
Melville, NY
INTERN,PART_TIME
- About us We are professional, agile and customer-centric. Our work environment includes: Modern office setting Food provided Work-from-home days Growth opportunities Modern office setting Relaxed atmo...
- 1 Day Ago
Medical Billing Specialist
- Robert Half
-
Huntington, NY
OTHER
- If you're looking for a role as a Medical Billing Specialist, this dynamic organization in the Medical Devices industry is looking for ambitious, focused candidates with excellent technical abilities....
- 1 Day Ago
Medical Coordination Specialist
- ACLD
-
Huntington, NY
FULL_TIME
- Medical Coordination Specialist - Residential Help Others to ASPIRE HIGHER! When a group of families came together in 1957 to find services for their children with developmental disabilities, ACLD was...
- 1 Month Ago
Front Desk Specialist
- Integrated Medical Professionals PLLC
-
Plainview, NY
FULL_TIME
- Description Front Desk SpecialistJob DetailsJob TypeFull-timePlainview, NY • Non-Clinical OperationsDescriptionWe are the largest multi-specialty urology and Radiation Therapy focused practice in the ...
- 5 Days Ago
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0 Medical Policy Specialist jobs found in Huntington, NY area
Mid-Level to Senior Litigation Associate
- Kaufman Borgeest & Ryan LLP
-
Garden City, NY
- Job Title: Mid-Level to Senior Litigation Associate Role: Associate in Medical Malpractice/Healthcare Expertise: 4-7 yea...
- 4/26/2024 12:00:00 AM
Bi-Lingual Worker's Comp Paralegal
- MAGGIANO, DIGIROLAMO and LIZZI PC
-
Fort Lee, NJ
- Job Description Job Description Position Title: Bi-Lingual Worker’s Comp Paralegal Job Requisition: Full-time Bi-Lingual...
- 4/26/2024 12:00:00 AM
Physician / City Medical Specialist IV, Bureau of Public Health Clinics
- City of New York
-
New York, NY
- Job Description City Medical Specialist assignment level IV THIS IS A PART-TIME (35 Hours/Week) Please note the maximum ...
- 4/23/2024 12:00:00 AM
Professional_US - Claim Examiner - US Claim Examiner - US
- Generis Tek, Inc.
-
Garden City, NY
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
Per Diem Registered Nurse
- Vocational Instruction Project Community Services Inc.
-
Bergenfield, NJ
- Description:Position Title: Registered Nurse Health ServicePosition Reports To: Program Supervisor and Medical DirectorD...
- 4/23/2024 12:00:00 AM
Claims Examiner –Remote
- Generis Tek Inc
-
Garden City, NY
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/22/2024 12:00:00 AM
(Physician) Medical Specialist 2
- Office for People with Developmental Disabilities
-
Thiells, NY
- Job Description Job Description EMPLOYMENT OPPORTUNITY ANNOUNCEMENT EOA #: 23-061RR EOA DATE: March 15, 2024 REPLY BY: S...
- 4/22/2024 12:00:00 AM
Junior to Mid-Level Litigation Associate
- Kaufman Borgeest & Ryan LLP
-
Garden City, NY
- Job Title: Junior to Mid-Level Litigation Associate Role: Associate in Medical Malpractice/Healthcare Expertise: 1-4 yea...
- 4/22/2024 12:00:00 AM
About Huntington, New York
The Town of Huntington is one of ten towns in Suffolk County, New York, United States. Founded in 1653, it is located on the north shore of Long Island in northwestern Suffolk County, with Long Island Sound to its north and Nassau County adjacent to the west. Huntington is part of the New York metropolitan area. As of the United States 2010 Census, the town population was 203,264....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$101,967 to $124,468
Huntington, New York area prices
were up 1.5% from a year ago
were up 1.5% 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