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)
Medical Billing Specialist
APS Medical Billing, located in Toledo Ohio, is seeking experienced Medical Billers to join our billing team. Beginning service in 1960, APS has grown into one of the premier billing companies, currently billing for over 250 client locations throughout the United States.
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We are an Equal Opportunity Employer committed to a diverse workforce. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability.
Job Type: Full-time
Pay: $17.00 - $25.00 per hour
Expected hours: 40 per week
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Work Location: Remote
0 Medical Policy Specialist jobs found in Omaha, NE area