Medical Policy Specialist jobs in Monroe, LA

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 Billing Specialist
  • FYZICAL Therapy and Balance Centers
  • Ruston, LA FULL_TIME
  • This is an exciting time to join the FYZICAL family! If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in Ruston, LA!

    In this Medical Billing Specialist role, you will be able to enhance your career under the guidance of a helpful, supportive practice leader in an exciting, fast-paced environment. With state-of-the-art technology at your fingertips, you will always have the tools you need to be successful. In addition, you will have access to continuing education, keeping you at the forefront of your profession.

    If you are ready to be part of an energetic atmosphere where you can achieve success and career satisfaction, apply for FYZICAL's Medical Billing Specialist job opening today!

    A great support team. An exciting work environment. Room to grow. Cutting-edge technology at your fingertips. This and more is your future when you accept this choice Medical Billing Specialist position in Ruston, LA, with the leading PT company in the U.S.!

    We are the world's fastest-growing healthcare franchise, leading the charge to transform the physical therapy industry by taking non-traditional approaches to patient care. in this Medical Billing Specialist role, you will join a top-rated team of professionals in an atmosphere that inspires confidence and success. Enjoy the security of knowing you have the full support of a practice leader who is invested in your future. Take advantage of this opportunity to add to your knowledge base while helping those in the surrounding community achieve their healthcare goals.

    Bring your experience and eagerness to be part of something new and different! Apply for our Medical Billing Specialist job opening today!


    Responsibilities

    • Use Electronic Medical Records to reconcile insurance company payments
    • AR/Medical Billing management
    • Help patients understand Explanation of Benefits (EOB)
    • Worker's Comp/auto claims form printing
    • Post insurance payments using paper and electronic methods (EMR)
    • Manage Accounts Receivable and medical billing
    • Print paper claims for Worker's Compensation and Auto carriers
    • Explain EOB to patients when needed

    Required Skills

    • H.S. graduate or GED certificate
    • 1 year(s) of Medical Accounts Receivable/Medical Billing experience
    • Able to successfully maneuver online insurance sites
    • Advanced Electronic Medical Records skills
    • Great communicator; friendly personality
    • Explanation of Benefits experience a plus
    • High school diploma or equivalent
    • At least 1 year of AR/Billing experience in a healthcare setting
    • Experience utilizing EMR systems, including electronic filing, denials, aging of accounts
    • Ability to navigate insurance websites
    • Must project a warm, enthusiastic and friendly demeanor in client and team member interactions
    • EOB and payment posting experience preferred
  • 28 Days Ago

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Dme Billing Specialist
  • Midsouth Medical of Monroe
  • Monroe, LA FULL_TIME
  • As a growing leader in the Durable Medical Equipment industry, Midsouth Medical, Inc., is seeking to add a billing specialist to our team. DME Billing Specialist Individuals will be trained on insuran...
  • 1 Month Ago

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Clinical Document Specialist
  • Northern Louisiana Medical Center
  • Ruston, LA FULL_TIME
  • The CDI Specialist will be assisting with documentation improvement activities for accurate ICD-10-CM code assignment. This individual will play a key role in adherence to official coding guidelines, ...
  • 1 Month Ago

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Medical Coder
  • Richardson Medical Center
  • Rayville, LA FULL_TIME
  • The job description of medical coders involves systematically translating medical terminology into unique and professional codes for medical personnel and insurance companies. § Analyze patient charts...
  • 2 Days Ago

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Medical assistant
  • Franklin Medical Center
  • Winnsboro, LA FULL_TIME
  • POSITION : MEDICAL ASSISTANT DEPARTMENT : RURAL HEALTH CLINIC FLSA STATUS : NON-EXEMPT Please read this job description carefully to ensure that you understand its contents, the job requirements, and ...
  • 1 Month Ago

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Medical Assistant- Full Time
  • Franklin Medical Center
  • Winnsboro, LA FULL_TIME
  • POSITION: Medical AssistantDEPARTMENT: Orthopedic ClinicFLSA STATUS: NON-EXEMPTJOB SUMMARY:Cares for patients in the Orthopedic Clinic under direction of nursing staff by performing the following job ...
  • 7 Days Ago

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0 Medical Policy Specialist jobs found in Monroe, LA area

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Travel Nurse RN - ED - Emergency Department - $1,923 per week
  • Hiring Now!
  • Monroe, LA
  • LeaderStat is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Monroe, Louisiana. Job Des...
  • 4/16/2024 12:00:00 AM

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Travel Nurse RN - Home Health - COVID19 - $2,122 per week
  • Hiring Now!
  • Monroe, LA
  • Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Monroe, Louisiana. Job Descriptio...
  • 4/16/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $2,120 per week
  • Hiring Now!
  • Monroe, LA
  • Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Monroe, Louisiana. Job Descriptio...
  • 4/16/2024 12:00:00 AM

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Specialty Representative, Psychiatry - Monroe, LA (Remote)
  • AbbVie, Inc
  • Monroe, LA
  • Company Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious he...
  • 4/15/2024 12:00:00 AM

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Termite Specialist
  • Orkin
  • Monroe, LA
  • Overview: Want to Join the Best in Pest? Go Pro with Orkin. As an Orkin Pro, youll put the "pro in protecting what peopl...
  • 4/14/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $1,936 per week
  • Hiring Now!
  • Monroe, LA
  • LeaderStat is seeking a travel nurse RN Telemetry for a travel nursing job in Monroe, Louisiana. Job Description & Requi...
  • 4/14/2024 12:00:00 AM

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Child Care Teacher - JPMorgan Chase - Monroe
  • Bright Horizons
  • Monroe, LA
  • **Child Care Teacher - TWOs** Imagine your future as a teacher with a world-class team where you make a difference for c...
  • 4/13/2024 12:00:00 AM

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Child Care Teacher - JPMorgan Chase - Monroe
  • Bright Horizons Family Solutons
  • Monroe, LA
  • Child Care Teacher - TWOs Imagine your future as a teacher with a world-class team where you make a difference for child...
  • 4/13/2024 12:00:00 AM

Monroe (historically French: Poste-du-Ouachita) is the eighth-largest city in the U.S. state of Louisiana. It is the parish seat of Ouachita Parish. In the official 2010 census, Monroe had a population of 48,815. The municipal population declined by 8.1 percent over the past decade; it was 53,107 in the 2000 census. After a recheck in 2012, the Census Bureau changed the 2010 population from 48,815 to 49,147. Mayor Jamie Mayo, however, maintains that the Monroe population is more than 50,000 and indicated that he will pursue a continued challenge to the count. Monroe is the principal city of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$80,590 to $98,373
Monroe, Louisiana 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