Medical Policy Specialist jobs in Sarasota, FL

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 Claims Specialist
  • Intercoastal Medical Group
  • Sarasota, FL FULL_TIME
  • Intercoastal Medical Group, Inc. is seeking an experienced Medical Claims Denial Specialist for a multispecialty practice. The specialist is responsible for managing claim denials, submitting medical records to the insurance carrier, processing explanation of benefits (EOB), communicating with the treating provider or office coordinator on claim issues, and re-submitting claims.

    Intercoastal is a drug free workplace and EEO compliant.

    Requirements:

    *High School Diploma or Equivalent

    *Current Medical Billing Experience

    *Completion of Medical Coding Course a plus

    *Basic HIPAA Knowledge

    *Strong Computer Skills

    Job Type: Full-time

    Pay: From $18.00 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Employee discount
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    People with a criminal record are encouraged to apply

    Education:

    • High school or equivalent (Required)

    Experience:

    • ICD-10: 1 year (Preferred)
    • Medical Billing: 1 year (Preferred)

    Work Location: In person

  • 28 Days Ago

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Medical Records Specialist
  • DSE and WS Media
  • Sarasota, FL FULL_TIME
  • seeking a Full-time Medical Records Specialist Job Summary: This position is responsible for collaborating and assisting with the work flow and tasks assigned to medical records staff. The medical rec...
  • Just Posted

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Medical Billing and Authorization Specialist
  • REJUVA DERMATOLOGY, VEIN & SKIN CANCER CENTER
  • Venice, FL PART_TIME,FULL_TIME
  • Dermatology Medical Biller/Coder Amazing opportunity for an experienced medical biller and coder in a prestigious practice and positive environment! We offer one of the highest salaries in the area to...
  • 1 Day Ago

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Medical Records Specialist PRN
  • HCA Florida Sarasota Doctors Hospital
  • Sarasota, FL FULL_TIME
  • Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an...
  • 11 Days Ago

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Medical Office Specialist
  • Sarasota General Surgery Svcs
  • Sarasota, FL FULL_TIME
  • Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Medical Office Specialist with Sarasota General Surgery Svcs you can be a par...
  • 13 Days Ago

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Medical Records Specialist PRN
  • HCA Florida Englewood Hospital
  • Englewood, FL FULL_TIME
  • Introduction Do you have the PRN career opportunities as a Medical Records Specialist PRN you want with your current employer? We have an exciting opportunity for you to join HCA Florida Englewood Hos...
  • 15 Days Ago

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0 Medical Policy Specialist jobs found in Sarasota, FL area

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Medical Assistant
  • Concentra Career Choice
  • Sarasota, FL
  • 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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Entry Level Vehicle Service Specialist - Sarasota, Venice, and Cape Coral
  • Metrolube Enterprises
  • Sarasota, FL
  • Description Entry Level Vehicle Service Specialist What You'll Do: As an entry-level vehicle service specialist, you wil...
  • 4/26/2024 12:00:00 AM

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Manufacturing Project Manager
  • Adecco US, Inc.
  • Sarasota, FL
  • Adecco is currently assisting a local client that is recruiting for a Manufacturing Project Manager in Sarasota Florida....
  • 4/26/2024 12:00:00 AM

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Groundskeeper/Porter - The Crossings at Palm Aire
  • Greystar Worldwide, LLC
  • Sarasota, FL
  • Ensures the physical aspects of the community are maintained and standards are met regarding the grounds, amenities and ...
  • 4/25/2024 12:00:00 AM

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Commercial Sales Manager
  • AutoZone, Inc.
  • Sarasota, FL
  • The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM dev...
  • 4/25/2024 12:00:00 AM

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OPS ADVANCED PRACTICE REGISTERED NURSE - 64941434 1
  • Myflorida
  • Bradenton, FL
  • OPS ADVANCED PRACTICE REGISTERED NURSE - 64941434 1Date:Apr 12, 2024Location:BRADENTON, FL, US, 34208The State Personnel...
  • 4/23/2024 12:00:00 AM

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Customer Service Specialist
  • AdaptHealth LLC
  • Sarasota, FL
  • Job Type Full-time Description AdaptHealth Opportunity - Apply Today! At AdaptHealth we offer full-service home medical ...
  • 4/23/2024 12:00:00 AM

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Manufacturing Project Manager
  • Adecco Staffing, USA
  • Sarasota, FL
  • Adecco is currently assisting a local client that is recruiting for a Manufacturing Project Manager in Sarasota Florida....
  • 4/23/2024 12:00:00 AM

Sarasota (/ˌsærəˈsoʊtə/) is a city in Sarasota County on the southwestern coast of the U.S. state of Florida. The area is renowned for its cultural and environmental amenities, beaches, resorts, and the Sarasota School of Architecture. The city is at the southern end of the Tampa Bay Area, north of Fort Myers and Punta Gorda. Its official limits include Sarasota Bay and several barrier islands between the bay and the Gulf of Mexico. According to the U.S. Census Bureau, in 2013 Sarasota had a population of 53,326. In 1986 it became designated as a certified local government. Sarasota is a prin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$85,062 to $103,832
Sarasota, Florida area prices
were up 1.5% 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