Medical Policy Specialist jobs in Norfolk, VA

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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Billing Specialist
  • Verdi Eye Specialist
  • Norfolk, VA FULL_TIME
  • Responsibilities:
    - Review and process medical billing claims
    - Verify accuracy of patient demographic and insurance information
    - Ensure compliance with coding and billing regulations
    - Resolve billing discrepancies and denials
    - Communicate with insurance companies and patients regarding billing inquiries
    - Maintain up-to-date knowledge of medical coding systems, such as ICD-10
    - Collaborate with medical staff to obtain necessary documentation for accurate coding

    Requirements:
    - Previous experience working in a medical office or healthcare setting
    - Strong knowledge of medical terminology and coding systems
    - Proficiency in medical collection processes
    - Familiarity with electronic medical records systems
    - Attention to detail and accuracy in data entry and record keeping
    - Excellent communication skills, both written and verbal
    - Ability to work independently and prioritize tasks effectively

    Job Type: Full-time

    Benefits:

    • 401(k)
    • Health insurance
    • Paid time off

    Schedule:

    • 8 hour shift
    • Monday to Friday
    • No weekends

    Work setting:

    • Medical office

    Ability to Relocate:

    • Norfolk, VA 23504: Relocate before starting work (Required)

    Work Location: In person

  • 2 Months Ago

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Billing Specialist
  • MedEx Medical Transport
  • Ahoskie, NC FULL_TIME
  • Under the supervision of the Billing Manager, the Billing Specialists are responsible for the review, verification and coding of all Electronic Health Records. They work closely with the Quality Assur...
  • Just Posted

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HR Specialist
  • MedEx Medical Transport
  • Ahoskie, NC FULL_TIME
  • The Human Resources Specialist position will be responsible for assisting the HR Manager with all administrative and strategic hiring duties. They will assist with the recruiting, onboarding, and sche...
  • 9 Days Ago

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Contract Specialist
  • Eastern Virginia Medical School
  • Norfolk, VA FULL_TIME
  • Overview This position is responsible for contracting of goods and services through the development of effective solicitations, competitive negotiation, and contract administration. Responsibilities P...
  • 1 Month Ago

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Medical Charge Entry Specialist
  • TEKsystems
  • Norfolk, VA FULL_TIME
  • Description: Collects patient documentation and charts for claim submission. Updates and maintains patient billing data and ensures documents are current. Contacts clinical staff for clarification on ...
  • 12 Days Ago

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Medical Office Specialist
  • Harbor Point Behavioral Health Center
  • Portsmouth, VA FULL_TIME
  • Responsibilities: Harbor Point Behavioral Health Center offers intensive residential treatment services within a secure setting. Our programs are designed to meet the needs of youth ages 7- 17 who are...
  • 1 Month Ago

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0 Medical Policy Specialist jobs found in Norfolk, VA area

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Therapeutic Apheresis Nurse Specialist (RN)
  • American Red Cross
  • Norfolk, VA
  • By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human ...
  • 4/24/2024 12:00:00 AM

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Medical Assistant/Nurse
  • North Shore Pediatrics
  • Norfolk, VA
  • Job Description Job Description Looking for motivated/focused individuals with great work ethic, polite/helpful etiquett...
  • 4/24/2024 12:00:00 AM

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Pediatric Nurse Practitioner PNP
  • North Shore Pediatrics
  • Norfolk, VA
  • Job Description Job Description We are seeking a Nurse Practitioner to become a part of our team! You will focus on prov...
  • 4/24/2024 12:00:00 AM

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Associate Controls Specialist
  • Fairbanks Morse Defense
  • Norfolk, VA
  • Mission-Driven. Honor-Bound. Fairbanks Morse Defense. What’s your calling? For the men and women of Fairbanks Morse Defe...
  • 4/24/2024 12:00:00 AM

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Endowment Accountant
  • ADAVICO INC
  • Norfolk, VA
  • Job Description Job Description About Adavico Adavico is an endowment and stewardship technology company dedicated to ho...
  • 4/24/2024 12:00:00 AM

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1st Class Outside Machinist
  • Colonna's Shipyard, INC
  • Norfolk, VA
  • 1 st Class Outside Machinist Purpose: Colonna's Shipyard, is seeking a 1st Class Outside Machinist to support operations...
  • 4/24/2024 12:00:00 AM

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Structural Welder - Weld America (Project Based/Part Time)
  • Colonna's Shipyard, INC
  • Norfolk, VA
  • Structural Welder - Weld America (Project Based/Part Time) Purpose: Weld America, a division of Colonna's Shipyard, is s...
  • 4/24/2024 12:00:00 AM

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Structural Welder - Weld America (Project Based/Full Time)
  • Colonna's Shipyard, INC
  • Norfolk, VA
  • Structural Welder - Weld America (Project Based/Full Time) Purpose: Weld America, a division of Colonna's Shipyard, is s...
  • 4/24/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 96 square miles (250 km2), of which 54 square miles (140 km2) is land and 42 square miles (110 km2) (43.9%) is water. Norfolk is located at 36°55′N 76°12′W / 36.917°N 76.200°W / 36.917; -76.200 (36.8857° N, 76.2599° W) The city is located at the southeastern corner of Virginia at the junction of the Elizabeth River and the Chesapeake Bay. The Hampton Roads Metropolitan Statistical Area (officially known as the Virginia Beach-Norfolk-Newport News, VA-NC MSA) is the 37th largest in the United States, with an estimated...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$84,257 to $102,850
Norfolk, Virginia 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