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)
Who You Are:
As an Exercise Specialist at New England Weight Management Institution, part of Catholic Medical Center (CMC), you'll evaluate and assess patients for exercise tolerance and endurance.
This is a per diem position (on an as needed basis), however preference for Friday’s or any other day, Monday through Friday.
Location: New England Weight Management Institution, Dartmouth Commons, 769 South Main Street, Manchester NH 03102
What You’ll Do:
What You'll Bring:
Who We Are:
Catholic Medical Center (“CMC”) is a nonprofit, regional health system committed to delivering the highest quality and most advanced healthcare to patients across New Hampshire. CMC is the home of the nationally-renowned New England Heart & Vascular Institute, rated among the top cardiovascular programs in the country.
We are driven by our mission to offer health, healing, and hope to every individual who seeks our care, and we live by our values of Respect, Integrity, Compassion, and Commitment.
CMC is proud to be named to the Forbes list of America’s Best-in-State Employers for two consecutive years. This prestigious award is presented by Forbes and Statista, Inc., and is based on 2.1 million employer recommendations from employees working for companies with more than 500 employees in the United States.
With our award-winning clinical programs, primary care network and dedication to community, CMC is fostering a healthier New Hampshire, every day.
Catholic Medical Center is an equal opportunity employer and we embrace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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0 Medical Policy Specialist jobs found in Manchester, NH area