Medical Policy Specialist jobs in Macon, GA

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)

G
Public Policy Governmental Affairs Specialist
  • Georgia Farm Bureau
  • Macon, GA FULL_TIME
  • DESCRIPTION OF ESSENTIAL DUTIES:

    • Assist in the development of GFB policy.
    • Conduct legislative meetings for county Farm Bureaus and outside groups.
    • Assist county Farm Bureaus in their local legislative activities.
    • Lobby elected officials on behalf of GFB.
    • Research legislation and write GFB position papers.
    • Research and compose testimony for volunteer members.
    • Provide legislative information to membership through news articles, bulletins, etc.
    • Assist with departmental meetings and events.
    • Work with GFB Issue and Commodity Committees managed by the Department.
    • Generally, represent the organization in a positive way.

    OTHER RESPONSIBILITIES/REQUIREMENTS

    • Willingness to travel and periodic overnight stays, occasionally out of state.
    • Willingness to relocate residence to Bibb County or a surrounding county.
    • Frequent travel by air, train, & automobile.
    • A valid Georgia Drivers' License is required at all times, and must be able to obtain other licenses or credentials that might be required for this job.
    • Frequent overnight travel to Atlanta, Georgia is expected, as well as to other locations on occasion, sometimes for a week at a time.

    QUALIFICATION, EDUCATION AND EXPERIENCE REQUIREMENTS:

    • Bachelor's degree preferred, preferably in agriculture, political science, or related field; farm, agri-business, or Farm Bureau experience helpful.
    • Should have a proven record of responsibility, good attendance, and the ability to handle confidential information.
    • Excellent communication skills are required for this job.
    • Written skills include concise letter writing, news articles, position papers, and the ability to research legislative and legal documents.
    • Verbal skills include the willingness and ability to frequently speak in public and lead meetings.
    • The job also requires the ability to discuss GFB’s position with legislators in a well-reasoned, non-confrontational way.
    • Computer skills are required to make presentations, do research, and make reports.
    • Organizational skills are necessary to plan events and coordinate activities of participants.

    SUPERVISORY RESPONSIBILITIES:

    None

    PHYSICAL DEMANDS/WORK ENVIRONMENT:

    • The Governmental Affairs Specialist will spend many hours at the State Capitol. The job demands long periods of standing, walking, negotiating stairs, carrying boxes of materials, etc.

    EOE M/F/D/V AA

    #LI-Onsite

  • 1 Month Ago

G
Public Policy Governmental Affairs Specialist
  • GFB
  • MACON, GA FULL_TIME
  • DESCRIPTION OF ESSENTIAL DUTIES: Assist in the development of GFB policy. Conduct legislative meetings for county Farm Bureaus and outside groups. Assist county Farm Bureaus in their local legislative...
  • 28 Days Ago

S
Quality Specialist
  • Southeast Medical Group P.C.
  • Robbins, GA FULL_TIME
  • DescriptionSoutheast Primary Care Partners/Southeast Medical Group (SEMG) is seeking a dedicated and dynamic Quality Specialist to join our team. This pivotal role serves as the crucial link between o...
  • 18 Days Ago

H
HIM Specialist
  • Houston Medical Center
  • Warner Robins, GA FULL_TIME
  • Health Information Management Full Time · 8:00a - 4:30p · Call typically not required H06 Responsible for the receipt, scanning, indexing of medical record documents into the hospital's electronic med...
  • 21 Days Ago

S
Quality Specialist
  • Southeast Medical Group
  • Robbins, GA FULL_TIME
  • DescriptionSoutheast Primary Care Partners/Southeast Medical Group (SEMG) is seeking a dedicated and dynamic Quality Specialist to join our team. This pivotal role serves as the crucial link between o...
  • 1 Month Ago

G
Medical Billing Specialist
  • Georgia Dermatology & Skin Cancer Center, LLC
  • Warner, GA FULL_TIME
  • We are seeking a qualified Medical Office Billing/ Insurance/ Collections Specialist to work in Warner Robins, GA. We are looking for a candidate with (but not limited to) the following: Minimum of 3 ...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Macon, GA area

H
Physical Therapy Assistant - $22-35 per hour
  • Hiring Now!
  • Macon, GA
  • Atrium Health is seeking a Physical Therapy Assistant for a job in Macon, Georgia. Job Description & Requirements Specia...
  • 4/24/2024 12:00:00 AM

H
Registered Nurse (RN) - ICU - Intensive Care Unit - $30-48 per hour
  • Hiring Now!
  • Macon, GA
  • Atrium Health is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nursing job in Macon, Georgia. Job Desc...
  • 4/22/2024 12:00:00 AM

H
Registered Nurse (RN) - Labor and Delivery - $30-48 per hour
  • Hiring Now!
  • Macon, GA
  • Atrium Health is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Macon, Georgia. Job Description...
  • 4/22/2024 12:00:00 AM

H
Registered Nurse (RN) - Neuro Trauma - $30-48 per hour
  • Hiring Now!
  • Macon, GA
  • Atrium Health is seeking a Registered Nurse (RN) Neuro Trauma for a nursing job in Macon, Georgia. Job Description & Req...
  • 4/22/2024 12:00:00 AM

H
Registered Nurse (RN) - Telemetry - $30-48 per hour
  • Hiring Now!
  • Macon, GA
  • Atrium Health is seeking a Registered Nurse (RN) Telemetry for a nursing job in Macon, Georgia. Job Description & Requir...
  • 4/22/2024 12:00:00 AM

H
Registered Nurse (RN) - PCU - Progressive Care Unit - $30-48 per hour
  • Hiring Now!
  • Macon, GA
  • Atrium Health is seeking a Registered Nurse (RN) PCU - Progressive Care Unit for a nursing job in Macon, Georgia. Job De...
  • 4/22/2024 12:00:00 AM

H
Registered Nurse (RN) - Float PCU - Progressive Care Unit - $30-48 per hour
  • Hiring Now!
  • Macon, GA
  • Atrium Health is seeking a Registered Nurse (RN) Float PCU - Progressive Care Unit for a nursing job in Macon, Georgia. ...
  • 4/22/2024 12:00:00 AM

H
Registered Nurse (RN) - Neurology - $30-48 per hour
  • Hiring Now!
  • Macon, GA
  • Atrium Health is seeking a Registered Nurse (RN) Neurology for a nursing job in Macon, Georgia. Job Description & Requir...
  • 4/22/2024 12:00:00 AM

Macon (/ˈmeɪkən/), officially Macon–Bibb County, is a consolidated city-county located in the state of Georgia, United States. Macon lies near the geographic center of the state, approximately 85 miles (137 km) south of Atlanta, hence the city's nickname "The Heart of Georgia." Located near the fall line of the Ocmulgee River, Macon is the county seat of Bibb County and had a 2017 estimated population of 152,663. Macon is the principal city of the Macon metropolitan area, which had an estimated population of 228,914 in 2017. Macon is also the largest city in the Macon–Warner Robins Combined St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$80,411 to $98,155
Macon, Georgia 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