Medical Policy Specialist jobs in New Britain, CT

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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Accounting Policy and Research Specialist (Hybrid)
  • EVERSOURCE
  • Berlin, CT FULL_TIME
  • The Accounting Specialist for Accounting Research is responsible for performing research, documenting conclusions, and maintaining all accounting policies and certain corporate policies with accounting matters. This role interfaces with the external auditor to ensure that we apply the correct accounting to material, judgmental accounting matters, including but not limited to complex contracts, new and/or unusual transactions, and regulatory outcomes. This position will assist with renewable energy accounting matters, will prepare and compile Audit Committee materials, and will assist with peak time financial reporting responsibilities, as needed.

    This is a hybrid role. The first three months are fulltime in the office. 

    Essential Functions 

    • Reviews complex transactions for applicable accounting guidance and coordinates with personnel initiating the transaction, tax, FP&A, Financial Reporting, and others.
    • Performs the drafting process of all research matters, implements updates throughout the review process, and ensures final approvals are obtained for all research matters.
    • Works directly with external auditors to ensure research matters are finalized by the auditors in a timely manner.
    • Maintains the internal repository of accounting research function deliverables, ensuring all research matters are finalized in the database in a timely manner.
    • Develops strong relationships cross-functionally to ensure research needs are met across the organization.
    • Prepares Audit Committee and other quarterly deliverables.
    • Assists the Financial Reporting group during peak work times for Financial Reporting, typically during 10-Q and 10-K periods.

    Qualifications

    Technical Knowledge:

    • Thorough knowledge of Generally Accepted Accounting Principles (GAAP), standard accounting policies procedures, and practices
    • Knowledge of utility accounting theory
    • Thorough knowledge of Accounting Standards Codification (ASC) and the Federal Energy Regulatory Commission (FERC) Uniform System of Accounts
    • Knowledge and experience with financial statement preparation
    • Knowledge and experience with financial management procedures and techniques

    Other Preferred Knowledge:

    • Knowledge of SEC reporting rules and regulations

    Skills:

    • Extensive resourcefulness to anticipate, define and direct solutions to complex and/or unusual accounting, finance and/or regulatory issues
    • Analytical skills, including the ability to draw sound conclusions, act decisively, and perform quantitative and qualitative analyses
    • Ability to think and act strategically in a fast-paced environment with frequently shifting and/or conflicting priorities
    • Strong team membership as well as team building skills
    • Strong customer focus
    • Strong spoken and written communication skills
    • Strong functional understanding of computerized business systems
    • Demonstrated skill with MS Office applications
    • Strong organizational skills

    Education:

    • Bachelor’s degree in accounting, Finance, or closely related field required

    Experience:      

    • Five (5) plus years of related accounting experience, preferably in a corporate environment, or a minimum of three (3) years of public accounting/audit experience required

    Licenses & Certifications

    • CPA designation is preferred

    Compensation and Benefits:

    • Eversource offers a competitive total rewards program. The annual salary range for this position is $111,000 - $123,000 plus incentive. Salary is commensurate with your experience. Check out the career site for an overview of benefits.

    #corpajd

    Worker Type:

    Regular

    Number of Openings:

    1

    EEO Statement

    Eversource Energy is an Equal Opportunity and Affirmative Action Employer.  All qualified applicants will receive consideration for employment without regard to age, race, color, sex, sexual orientation, gender identity, national origin, religion, disability status, or protected veteran status.

    VEVRRA Federal Contractor

    Emergency Response:

    Responding to emergency situations to meet customers’ needs is part of every employee’s role. If employed, you will be given an Emergency Restoration assignment.  This means you may be called to assist during an emergency outside of your normal responsibilities, work hours and location. 

  • 8 Days Ago

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Medical Specialist
  • ArmyRecruiting Albany
  • Waterbury, CT FULL_TIME
  • Addresses jobs in the medical, dental and veterinary fields. These MOSs cover a variety of responsibilities throughout the military health care field, from clinical settings to point of injury.Basic Q...
  • 23 Days Ago

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Medical Credentialing and Billing Specialist
  • MediTelecare
  • Middletown, CT FULL_TIME
  • MediTelecare is the nation’s leading telemedicine provider of behavioral health care to skilled nursing, assisted living and independent living facilities seeks an experienced full-time Revenue Collec...
  • 10 Days Ago

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Medical Billing Specialist
  • Litchfield Hills Orthopedics
  • Torrington, CT FULL_TIME
  • Busy Orthopedic office seeking experienced medical billing specialist. Job duties include posting charges, posting payments, answering phones, sending statements, and working aging reports. Demonstrat...
  • 11 Days Ago

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Medical Accounts Receivable Specialist
  • Orthopedic Assoc of Hartford P
  • Farmington, CT FULL_TIME
  • DescriptionEstablished in 1970, Orthopedic Associates of Hartford, P.C., is one of the areas largest orthopedic practices with office locations throughout greater Hartford. Our growing practice is cur...
  • 14 Days Ago

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Medical Transportation Specialist
  • Aryv
  • Waterbury, CT FULL_TIME,CONTRACTOR,PART_TIME
  • We have consistent work, flexible schedules, and great income for you.(No Experience Needed)We’re looking for On-Demand Drivers that can help transport medical patients to their doctors appointments. ...
  • 24 Days Ago

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0 Medical Policy Specialist jobs found in New Britain, CT area

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Claims Associate
  • Integris Group
  • Glastonbury, CT
  • Work for a company that values you! Integris Group is a medical professional liability insurance carrier. We put our tal...
  • 4/19/2024 12:00:00 AM

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Senior Claims Representative
  • The Jacobson Group
  • Glastonbury, CT
  • Job Description: A medical professional liability insurance carrier is seeking a Senior Claims Representative to handle ...
  • 4/19/2024 12:00:00 AM

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Claims Representative
  • Integris Group
  • Glastonbury, CT
  • Work for a company that values you! Integris Group is a medical professional liability insurance carrier. We put our tal...
  • 4/19/2024 12:00:00 AM

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Nurse Practitioner or Physician Assistant Addiction Treatment Medical Staff Office
  • Hiring Now!
  • Manchester, CT
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Work whereevery momentmatters. ...
  • 4/17/2024 12:00:00 AM

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Nurse Practitioner or Physician Assistant Addiction Treatment Medical Staff Office
  • Hartford HealthCare
  • Manchester, CT
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Work where every moment matters...
  • 4/17/2024 12:00:00 AM

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Senior Claims Representative
  • Integris Group
  • Glastonbury, CT
  • Work for a company that values you! Integris Group is a medical professional liability insurance carrier. We put our tal...
  • 4/17/2024 12:00:00 AM

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Medical Biller
  • Addison Group
  • Farmington, CT
  • Job Title: Denials Management Medical Specialist (Medical Billing/Denied Claims Specialist) Location (city, state): Farm...
  • 4/16/2024 12:00:00 AM

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Front Desk Specialist - Physical Therapy (29941) Full Time | MSO - ONS Greenwich (1210) - Greenwich, CT, 06831 chevron_right
  • Tucci Learning Solutions, Inc.
  • Greenwich, CT
  • Front Desk Specialist - Physical Therapy Job Details Level Experienced Job Location MSO - ONS Greenwich (1210) - Greenwi...
  • 4/16/2024 12:00:00 AM

New Britain is a city in Hartford County, Connecticut, United States. It is located approximately 9 miles (14 km) southwest of Hartford. According to 2010 Census, the population of the city is 73,206. Among the southernmost of the communities encompassed within the Hartford-Springfield Knowledge Corridor metropolitan region, New Britain is home to Central Connecticut State University and Charter Oak State College. The city's official nickname is the "Hardware City" because of its history as a manufacturing center and as the headquarters of Stanley Black & Decker. Because of its large Polish p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$95,706 to $116,825
New Britain, Connecticut area prices
were up 1.7% 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