Medical Policy Specialist jobs in Middlesex, NJ

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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Medical Assistant
  • Ankle & Foot Specialist of NJ
  • South Plainfield, NJ FULL_TIME,PART_TIME
  • Immediate opening for a friendly, well organized and efficient person for a fast growing practice. EMR experience and willing to travel to different locations is necessary. At least 2 years of experience in a medical practice with knowledge of various insurances, pre-certs and prior authorization is preferred. Ideal candidate is honest with good work ethics, friendly with outgoing personality, excellent communicator, able to multi task, ability to solve problems independently and be courteous and professional to patients under any circumstances. Our chosen candidate will enjoy a high hourly rate of pay and a benefits package.

    Schedule will be Monday through Friday and Saturday mornings.

    Job Types: Full-time, Part-time

    Pay: $18.00 - $23.00 per hour

    Benefits:

    • Employee discount
    • Health insurance
    • Paid time off

    Schedule:

    • Monday to Friday
    • Weekends as needed

    Experience:

    • EMR systems: 3 years (Preferred)
    • Vital signs: 3 years (Preferred)

    License/Certification:

    • Certified Medical Assistant (Preferred)

    Work Location: Multiple locations

  • 25 Days Ago

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Medical Practice Marketing Representative
  • Ankle & Foot Specialist of NJ
  • South Plainfield, NJ FULL_TIME
  • We are a well respected podiatry practice with offices in South Plainfield, Hillsborough, Middlesex, Woodbridge and East Brunswick. We are looking for a creative marketer who has the desire and determ...
  • 1 Day Ago

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Cosmetic Merchandiser (2023-29928)
  • Apollo Retail Specialist
  • Edison, NJ PART_TIME
  • About the JobAs a cosmetic merchandiser, you’ll take on project-based work to ensure cosmetic products, graphics, and displays are visually appealing to attract and engage shoppers, build strong relat...
  • Just Posted

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Medical Coding & Billing Specialist
  • NJ Institute For Pain Relief LLC
  • Cranford, NJ FULL_TIME
  • NJ Institute For Pain Relief LLC is a multidisciplinary practice providing pain management, sports medicine, chiropractic care, physical therapy, acupuncture, orthopedic surgery, and spine surgery, in...
  • 1 Month Ago

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Medical Billing Specialist
  • SamWell Institute of Pain Management
  • Colonia, NJ FULL_TIME
  • We are fast paced out of network pain practice seeking dedicated employees with good work ethic to join our team. The perfect candidate should have out of network billing experience, PIP experience, a...
  • 21 Days Ago

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Clinical Documentation Specialist RN
  • RIVERVIEW MEDICAL CENTER
  • Red Bank, NJ FULL_TIME
  • Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in c...
  • 20 Days Ago

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0 Medical Policy Specialist jobs found in Middlesex, NJ area

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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 ...
  • 4/18/2024 12:00:00 AM

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Nurse Practitioner - Urgent Care
  • Mitchell Martin
  • Bronx, NY
  • Our client is looking for a Nurse Practitioner to join our team Urgent Care Team! Type: Direct-Hire/ Full-Time Schedule:...
  • 4/18/2024 12:00:00 AM

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Internist
  • Greenlife Healthcare Staffing
  • New York, NY
  • JOB TITLE (#2278): Internist / Nursing Home - Bronx, NY Board Certified or Board Eligible Greenlife Healthcare Staffing ...
  • 4/18/2024 12:00:00 AM

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Sr. General Liability Claims Adjuster- NY Adjuster Lic a Must -Remote
  • NARS
  • New York, NY
  • Job Description Job Description We are seeking a Senior General Liability Claims Adjuster- (Labor Law a must ) to become...
  • 4/17/2024 12:00:00 AM

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Sr General Liability Claims Adjuster- NY Lic a Plus- Work from Home
  • North American Risk Services, Inc. (NARS)
  • Red Bank, NJ
  • Job Description Job Description We are seeking a Senior General Liability Claims Adjuster- (NY License ) to become a par...
  • 4/17/2024 12:00:00 AM

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Medical Nurse Practitioner - Child and Adolescent Population
  • CFG Health Network
  • Monroe Township, NJ
  • Overview Join CFG Health Systems, the new partner of the Juvenile Justice Commission, and embark on a meaningful career ...
  • 4/16/2024 12:00:00 AM

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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...
  • 4/16/2024 12:00:00 AM

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Internal Medicine Physician
  • Greenlife Healthcare Staffing
  • New York, NY
  • JOB TITLE (#2323): Internist / Nursing Home - Brooklyn, NY Board Certified or Board Eligible Greenlife Healthcare Staffi...
  • 4/16/2024 12:00:00 AM

Middlesex is a borough in Middlesex County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 13,635 reflecting a decline of 82 (-0.6%) from the 13,717 counted in the 2000 Census, which had in turn increased by 662 (+5.1%) from the 13,055 counted in the 1990 Census. Middlesex was incorporated as a borough by an act of the New Jersey Legislature on April 9, 1913, from portions of Piscataway Township, based on the results of a referendum held on May 6, 1913.[21] The borough's name derives from Middlesex, England.[22][23] According to the United States C...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$100,357 to $122,502
Middlesex, New Jersey 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