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)
Big Fire Law & Policy Group LLP is seeking a Paralegal to join our Winnebago, NE office. The work requires professionalism, initiative, accuracy, discretion, and confidentiality. This full-time position offers a competitive salary and benefits. Regular working hours are Monday – Friday, 8:30 a.m. – 5:30 p.m.
To apply, send a cover letter and resume with salary expectations to careers@bigfirelaw.com.
Duties:
Requirements:
Cloud based software solutions.
Preferred:
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0 Medical Policy Specialist jobs found in Sioux City, IA area