Medical Policy Specialist jobs in Jackson, MS

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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Accounts Receivable Specialist
  • Zavation Medical
  • Flowood, MS FULL_TIME
  • The role of an Accounts Receivable Specialist at Zavation Medical Products involves maintaining accurate and up-to-date accounts receivable records, along with providing support to customers and the internal team. This position is critical for ensuring the financial health and growth of Zavation Medical Products, a leading manufacturer of medical devices. The specialist is expected to be detail-oriented and organized, contributing significantly to the company's dynamic work environment through their expertise and support functions.

    Responsibilities:

    • Processing sales orders and invoices daily in the ERP system.
    • Maintaining the internal pricing application for the company and updating pricing weekly to ensure accurate billing for customers.
    • Setting up new customers in the ERP system, including obtaining and filing new customer setup forms electronically.
    • Assisting customers with billing questions and working collaboratively to resolve any billing issues.
    • Assisting with daily collections and postings to customer accounts as needed.
    • Handling and assisting with other office duties as they arise.
    • Retaining sensitive information confidentially.

    Requirements:

    • Minimum of 2 years’ experience in office-related duties, such as filing, bookkeeping, etc.
    • Three or more years working in the corporate accounting field with experience in full-cycle close and processing AR/AP transactions and general journal entries.
    • Strong experience with customer invoicing, statement creation and reconciliation, credit memo transactions, cash application processing, and maintaining supporting documentation.
    • Experience with basic customer collections and statement reviews.
    • Working knowledge of Financial ERP systems for process look-up and reporting.
    • Strong attention to detail and a solid work ethic, reliable and consistent in attendance, with a positive attitude, productivity, cooperation, respect, teamwork, decision making, and integrity.
    • Intermediate level communication skills, both oral and written.
    • Strong organizational and time management skills.
    • Entry-level proficiency in Excel, including creating workbooks, organizing data, setting up margins for printing, and using copy and paste and other data formatting features.
    • Understanding of how to protect and maintain confidential information.
    • Associates of Applied Science in Office Technology or equivalent experience.
    • Completed two or more years of college with a focus on business and/or accounting degree.
    • Must be able to communicate effectively with vendors and customers.
    • Ability to work independently in completing tasks as needed.

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Vision insurance

    Experience level:

    • 3 years

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Experience:

    • billing: 3 years (Preferred)
    • Accounts receivable: 3 years (Preferred)

    Ability to Relocate:

    • Flowood, MS 39232: Relocate before starting work (Required)

    Work Location: In person

  • 15 Days Ago

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Medical Records Specialist/LPN
  • Laurelwood Community Living Center
  • Laurel, MS FULL_TIME
  • DescriptionFull Time Monday-Friday 8am-4:30pmHandles and organizing current and discharged resident files, vaccinations, and consents, ICD10 coding, record request etc.RequirementsMust be a licensed L...
  • Just Posted

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Medical Claims Specialist
  • Vestra Revenue Cycle Management
  • Magee, MS FULL_TIME
  • POSITION SUMMARY: Responsible for appropriate follow-up of filed medical claims to insure timely collection of claims payments. POSITION RESPONSIBILITIES: Analyzes Medicare, Medicaid remittance advice...
  • Just Posted

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68K Medical Laboratory Specialist
  • Army National Guard
  • Crystal, MS FULL_TIME
  • The ASVAB isn’t the only test that matters in the military. A Soldier’s tissue, blood, and body fluids also need to be tested to detect and identify diseases. As a Medical Laboratory Specialist in the...
  • 8 Days Ago

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Medical Collections Specialist
  • MS Retina Associates
  • Jackson, MS FULL_TIME
  • MS Retina is looking to fill a position for a Collections Specialist for our high volume Retina Practice. Medical/Office/Collections experience required. Excellent opportunity to learn and grow in the...
  • 27 Days Ago

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Accounts Receivable Specialist
  • Zavation Medical Products
  • Flowood, MS FULL_TIME
  • The role of an Accounts Receivable Specialist at Zavation Medical Products involves maintaining accurate and up-to-date accounts receivable records, along with providing support to customers and the i...
  • 13 Days Ago

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0 Medical Policy Specialist jobs found in Jackson, MS area

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Detailer (flat rate) 555050 (Jackson, MS)
  • Teph Seal Auto Appearance
  • Jackson, MS
  • Overview: Flat Rate Detail Shop Position(s) Available. Are you a team player who is focused on providing exemplary custo...
  • 5/8/2024 12:00:00 AM

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Manager, Quality Assurance
  • Cardinal Health
  • Jackson, MS
  • **_What Quality Assurance contributes to Cardinal Health_** Quality develops and implements quality policies, procedures...
  • 5/8/2024 12:00:00 AM

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Software Engineer, Machine Learning Specialist- PyTorch Open Source
  • Facebook
  • Jackson, MS
  • Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. ...
  • 5/8/2024 12:00:00 AM

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Social Services Specialist III
  • State of Mississippi
  • Jackson, MS
  • Salary: $48,256.00 - $51,376.00 Annually Location : 24 - HARRISON COUNTY, MS Job Type: Full-Time Job Number: 9798-0373-2...
  • 5/8/2024 12:00:00 AM

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Software Licensing Specialist
  • Amentum
  • Jackson, MS
  • We are looking for a **Software Licensing Specialist** to join our team and to administer the contractual relationships ...
  • 5/6/2024 12:00:00 AM

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Energy Proposal Manager
  • Cadmus
  • Jackson, MS
  • **Overview** **What Youll Be Doing** Cadmus is seeking an experienced proposal manager adept in technical sales writing,...
  • 5/4/2024 12:00:00 AM

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Transportation Electrification Associate
  • Cadmus
  • Jackson, MS
  • **Overview** **What Youll Be Doing** Cadmus seeks an Associate Consultant to join our Energy Services business unit, foc...
  • 5/4/2024 12:00:00 AM

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Wellness Instructor Restorative (CNA)
  • Aegis Therapies
  • Jackson, MS
  • **Wellness Instructor Restorative (CNA): Full-time** **?** **Aegis Therapies** , one of the nations leading providers of...
  • 5/4/2024 12:00:00 AM

Jackson is located primarily in northeastern Hinds County, with small portions in Madison and Rankin counties. The Pearl River forms most of the eastern border of the city. A small portion of the city containing Tougaloo College lies in Madison County, bounded on the west by Interstate 220 and on the east by U.S. Route 51 and Interstate 55. An unconnected section of the city surrounds Jackson–Evers International Airport in Rankin County. In the 2010 census, only 622 of the city's residents lived in Madison County, and only 1 lived within the city limits in Rankin County. The city is bordered t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$79,705 to $97,288
Jackson, Mississippi area prices
were up 1.2% 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