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)
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.
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Job Type: Full-time
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Work Location: In person
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0 Medical Policy Specialist jobs found in Jackson, MS area