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)
Admitting/Registration Clerk
HMC Offers:
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The Admitting/Registration Clerk is a patient's first point of contact at the hospital. Must be able to handle the duties of both a receptionist and medical secretary, signing in people and dealing with their personal information. Admitting/Registration Clerk particularly need the skills to collect and organize information to keep the flow of patients running smoothly.
Responsibilities
Background and Drug screen Disclaimer:
All HMC employees are required to pass a Federal and State background check and pass a drug and alcohol test. We test for illegal and legal substances, including marijuana.
Requirements:
Job Type: Full-time
Pay: From $15.00 per hour
Benefits:
Healthcare setting:
Medical specialties:
Schedule:
Ability to Relocate:
Work Location: In person
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0 Medical Policy Specialist jobs found in Peoria, IL area