Medical Policy Specialist jobs in Richmond, 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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Medical Billing Specialist
  • APS Medical Billing
  • Richmond, VA FULL_TIME
  • Medical Billing Specialist

    • Fully Remote Weekends Off Opportunities for Growth

    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.

    Responsibilities

    • Follow up on unresolved claims within the standard billing cycle
    • Investigate, identify, research, and appeal denied claims
    • Ensure accuracy and quality work on a day-to-day basis
    • Reliably meet deadlines in a high-volume setting

    Qualifications

    • Minimum 3 years of medical billing experience
    • Strong medical billing A/R follow-up
    • Experience with UB-04 billing
    • Production-based focus, highly organized, and detail-oriented
    • Ability to work in a fast-paced and rapidly changing environment
    • Understanding of medical terminology, medical billing practices, and billing reimbursement is essential
    • Familiar with billing guidelines and regulations in various states; across government and non-government insurance carriers
    • Strong computer and typing skills as well as insurance website/portal navigation

    Benefits Package includes

    • Paid Time Off
    • Medical plan
    • Health Savings Account
    • Alight – Personal Health Care Advisor
    • Dental, Vision, Life Insurance, 401K
    • Paid holidays
    • EAP - Employee Assistance Program

    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

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • Remote

    Experience:

    • Medical billing: 3 years (Preferred)

    Work Location: Remote

  • 19 Days Ago

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Bankruptcy Specialist
  • Technology Support Specialist
  • Allen, VA CONTRACTOR
  • Basic Qualifications for Consideration: Monitor loans in Bankruptcy to ensure the debtor is in compliance with the bankruptcy plan and that Mortgage adheres to investor, state, federal and bankruptcy ...
  • 18 Days Ago

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Roofing Sales Representative
  • Home Specialist MV LLC
  • Richmond, VA FULL_TIME
  • Roofing Sales Manager Experienced ****Willing to train the right candidate**** Company Overview: Join our dynamic roofing company committed to excellence in both product quality and customer service. ...
  • 16 Days Ago

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Cardiology Hospital Manager
  • CVCA Richmond - Cardiology Specialist
  • Richmond, VA FULL_TIME
  • Overview CVCA Cardiac Care for Pets is growing! We are seeking a Hospital Manager to join CVCA, the leading provider for veterinary cardiac care across the nation. Description: The Hospital Manager is...
  • 5 Days Ago

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Policy Analyst
  • City of Richmond, VA
  • Richmond, VA FULL_TIME
  • Are you Richmond R.E.A.D.Y? Respect. Equity. Accountability. Diversity…YOU!!! This is an EXCITING time to Join the City of Richmond! We are committed to nurturing talent, fostering growth opportunitie...
  • Just Posted

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Policy Analyst
  • City of Richmond
  • Richmond, VA FULL_TIME
  • The City of Richmond is seeking to fill the position of Policy Analyst for our Governance and Finance Division. This is an exempt position and requires a minimum of 40 hours a week with presence in th...
  • 4 Days Ago

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0 Medical Policy Specialist jobs found in Richmond, VA area

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CNA In-Home Services
  • InnovAge
  • Richmond, VA
  • Responsibilities: The In Home Services CNA is responsible for providing routine care and assisting participants or clien...
  • 4/25/2024 12:00:00 AM

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Medical Device Sales, Medical robotics, Richmond
  • Planet Green Search
  • Richmond, VA
  • Job Description: We are currently a seeking a Experienced Sales Executive For Top Medical Device Company. This an excell...
  • 4/25/2024 12:00:00 AM

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VALET
  • Ace Parking Management, Inc.
  • Richmond, VA
  • About Us: One of the reasons why we are the nation's leading parking management expert is because we recognize that "peo...
  • 4/25/2024 12:00:00 AM

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Travel Nurse RN - Long Term Acute Care - $2,350 per week
  • Hiring Now!
  • Richmond, VA
  • Solomon Page is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Richmond, Virginia. Job Descr...
  • 4/25/2024 12:00:00 AM

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Travel Ultrasound Technologist - $2,381 per week
  • Hiring Now!
  • Richmond, VA
  • Jackson Therapy Partners is seeking a travel Ultrasound Technologist for a travel job in Richmond, Virginia. Job Descrip...
  • 4/25/2024 12:00:00 AM

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Travel Speech Language Pathologist - $2,277 per week
  • Hiring Now!
  • Richmond, VA
  • Jackson Therapy Partners is seeking a travel Speech Language Pathologist for a travel job in Richmond, Virginia. Job Des...
  • 4/25/2024 12:00:00 AM

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Travel CT Technologist - $3,145 per week
  • Hiring Now!
  • Richmond, VA
  • LeaderStat is seeking a travel CT Technologist for a travel job in Richmond, Virginia. Job Description & Requirements Sp...
  • 4/25/2024 12:00:00 AM

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Licensed Hair Stylist / Cosmetologist
  • Hair Cuttery
  • Richmond, VA
  • Hiring Immediately! Speedy interview process for this role. REACH YOUR EARNING POTENTIAL OF UP TO 75% COMMISSIONS MUST B...
  • 4/25/2024 12:00:00 AM

Richmond (/ˈrɪtʃmənd/) is the capital of the Commonwealth of Virginia in the United States. It is the center of the Richmond Metropolitan Statistical Area (MSA) and the Greater Richmond Region. Richmond was incorporated in 1742 and has been an independent city since 1871. As of the 2010 census, the city's population was 204,214; in 2016, the population was estimated to be 223,170, making Richmond the fourth-most populous city in Virginia. The Richmond Metropolitan Area has a population of 1,260,029, the third-most populous metro in the state. Richmond is located at the fall line of the James R...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$87,030 to $106,234
Richmond, 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