Medical Policy Specialist jobs in Providence, RI

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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Kitchen Designer/Sales Consultant
  • RIHI The Kitchen and Bath Specialist
  • Warwick, RI FULL_TIME
  • In-Home sales: Kitchen Designer

    RIHI is a full-service Kitchen and Bath Remodeling company specializing in residential remodeling. We have been family-owned and operated for 75 years. Our mantra is to give our customers a red carpet experience paired with the care-free, start-to-finish process we are known for.

    Due to high demand, we are currently seeking two experienced, professional Kitchen Designers to join our team. This is a full-time position offering Top compensation, including salary, commissions, bonuses, and an extensive benefits package. The income potential is $175,000 with commission.

    Qualified candidates must successfully guide our customers through their kitchen remodeling projects. The kitchen designer will work closely with customers to assess their needs, answer questions, provide a great design experience, and close the sale.

    Qualifications:

    • Prior in-home kitchen sales experience
    • Must have good communication skills.
    • Strong design skills with an eye for creativity.
    • Ability to design in ProKitchen or 20/20 software.
    • Possess good computer skills.
    • Must have the ability to measure, design, and sell kitchen remodels.


    We Offer:

    • Professional training.
    • Pre-qualified and confirmed appointments.
    • Excellent compensation program with generous bonuses.
    • Top benefits package includes 401k, Health, Disability, and Life insurance.
    • High energy, positive attitude environment.
    • We'll provide the opportunity to go anywhere your potential will take you.



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  • 16 Days Ago

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Policy Administrator
  • TEKsystems
  • North, RI FULL_TIME
  • Job Description:Performs administrative functions required for servicing of insured policy, certificate issue, and premium billing/collectionProcess enrollment, terminations, plan changes, census chan...
  • 2 Days Ago

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Medical Billing and Collection Specialist
  • Saint Elizabeth Community
  • East Greenwich, RI FULL_TIME
  • Medical Billing and Collection Specialist Full-Time Days Experience our Mission of Caring and Superior Staffing Ratios Work in an environment where our co-workers and those in our care are treatedJust...
  • 19 Days Ago

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Medical Transport Specialist / Driver
  • Quest Diagnostics
  • Johnston, RI FULL_TIME
  • Overview Medical Transport Specialist / Driver Johnston, RI - Monday-Friday 5:00pm-1:30am We will provide you a career with a leader in the healthcare industry, by offering a wide variety of opportuni...
  • 5 Days Ago

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Medical Front Desk Specialist
  • Robert Half
  • New York, NY OTHER
  • Are you a dynamic and bilingual professional with excellent communication skills in both English and Spanish? Robert Half isseeking a talented individual to join our team as a Bilingual Receptionist. ...
  • 23 Days Ago

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Medical Front Desk Specialist
  • Robert Half
  • Lawrence, NJ PER_DIEM
  • We are looking to hire a medical receptionist with excellent organizational and administrative skills. Medical receptionists are expected to be compassionate and discrete with superb time management a...
  • 15 Days Ago

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0 Medical Policy Specialist jobs found in Providence, RI area

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Center Medical Specialist - EMT/A - Cranston, RI $3,000 Sign On Bonus
  • PSG Global Solutions
  • Cranston, RI
  • Do you want to join an international team working to improve the future of healthcare? Do you want to improve the lives ...
  • 4/26/2024 12:00:00 AM

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Medical Assistant
  • Concentra
  • Warwick, RI
  • Overview: Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care...
  • 4/26/2024 12:00:00 AM

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Senior Manager, Information Security Office (ISO) Consultant
  • Hiring Now!
  • Providence, RI
  • Center 3 (19075), United States of America, McLean, Virginia Senior Manager, Information Security Office (ISO) Consultan...
  • 4/26/2024 12:00:00 AM

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Senior Manager, Information Security Office (ISO) Consultant
  • Capital One
  • Providence, RI
  • Center 3 (19075), United States of America, McLean, Virginia Senior Manager, Information Security Office (ISO) Consultan...
  • 4/25/2024 12:00:00 AM

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Software Engineer, Machine Learning Specialist- PyTorch Open Source
  • Facebook
  • Providence, RI
  • Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. ...
  • 4/24/2024 12:00:00 AM

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Area Business Manager, Providence, RI
  • Sanofi
  • Providence, RI
  • Area Business Manager, Providence, RI page is loaded Area Business Manager, Providence, RI Apply locations Providence, R...
  • 4/24/2024 12:00:00 AM

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Heavy Duty Auto Leasing Administrator
  • Allegiance Fire & Rescue
  • Providence, RI
  • WARWICK, WARWICK, Rhode Island, United States of AmericaJob Description Posted Friday, April 19, 2024 at 4:00 AMWho is A...
  • 4/23/2024 12:00:00 AM

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Principal Delivery Lead
  • First American
  • Providence, RI
  • Who We Are Join a team that puts its People First! Since 1889, First American (NYSE: FAF) has held an unwavering belief ...
  • 4/23/2024 12:00:00 AM

The Providence city limits enclose a small geographical region with a total area of 20.5 square miles (53 km2); 18.5 square miles (48 km2) of it is land and the remaining 2.1 square miles (5.4 km2) is water (roughly 10%). Providence is located at the head of Narragansett Bay, with the Providence River running into the bay through the center of the city, formed by the confluence of the Moshassuck and Woonasquatucket Rivers. The Waterplace Park amphitheater and riverwalks line the river's banks through downtown. Providence is one of many cities claimed to be founded on seven hills like Rome. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$93,827 to $114,532
Providence, Rhode Island area prices
were up 1.6% 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