Medical Policy Specialist jobs in Somerset, NJ
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)
Recently Added Medical Policy Specialist jobs
Medical Technologist Specialist - NJ
- HonorVet Technologies
-
Raritan, NJ
FULL_TIME
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The serologist will be responsible for testing for part of a project validation of methods on our Immunohematology products. This person will assure compliance with company standards and applicable regulatory agencies. The successful candidate will have the ability to prioritize and handle multiple tasks and challenges at one time and have the ability to work in a team environment and provide customer focused results in an efficient manner. The serologist will document results clearly and accurately as well as be able to interpret results by comparing results against appropriate specification requirements. He/She will maintain work areas and equipment as well as ensure calibration and maintenance of equipment is performed at designated intervals. The successful candidate will adhere to departmental and Quidel SOP s and safety requirements as well as be accountable for notifying management of any out of specifications or abnormal trend in results in a timely manner. He/She will be accountable for reporting nonconformance s to management immediately. The serologist will be familiar with Quidel s safety and environmental policies and perform work tasks and operations in compliance with all safety and environmental rules and regulations, and encourage co-workers to do so; if uncertain, consults with supervisor. Attend applicable safety and environmental education and training programs and participate in Safety Committees and attend departmental safety and environmental meetings. Immediately report and correct, if possible, unsafe conditions, spills and near miss incidents. Conduct self-inspections of workstations and offices for hazardous conditions.
Quals--
A Bachelor's degree in Medical Technology, Biology or a related field of study and a minimum of 1-3 years experience within a cGMP environment. Familiarity with the guidelines and regulations of FDA, OSHA, ISO, and cGMP is preferred. Manual dexterity to handle instruments, complete repetitive motions, and stand for long periods of time is required. Diligent use of PPEs (Personal Protective Equipment) to limit exposure to bloodborne pathogens is required. Excellent oral and written communication skills are required. Proficiency with the Microsoft Office suite of products (Excel, Word, PowerPoint, Outlook). This position is in Raritan, NJ. This is a 1st shift position, and you must have flexibility to work some weekends and over time as required. - 15 Days Ago
Medical Transcription Specialist
- Iconics Global Solutions
-
Martinsville, NJ
FULL_TIME
- Responsibilities: Transcribe medical reports, dictated by healthcare professionals, into accurate and readable text format. Ensure confidentiality and adherence to HIPAA regulations in handling sensit...
- 21 Days Ago
Specialist 2 - Medical Information
- Advocate Aurora Health
-
Hopewell, NJ
FULL_TIME
- Johnson & Johnson Family of CompaniesTitle: Specialist 2 - Medical InformationLocation: Titusville, NJDuration: 1 yearBenefits on offer for this contract position: Health Insurance, Life insurance, 40...
- Just Posted
Specialist 4 - Medical Writing
- jnj
-
Hopewell, NJ
FULL_TIME
- Johnson & Johnson Family of CompaniesTitle: Manager Medical Information Payer and Health SystemsLocation: Titusville, NJDuration: 1 yearBenefits on offer for this contract position: Health Insurance, ...
- 4 Days Ago
Specialist 3 - Medical Writing
- jnj
-
Hopewell, NJ
FULL_TIME
- Johnson & Johnson Family of CompaniesTitle: Therapeutic SpecialistLocation: Titusville, NJ - At the start, the position will be 5 days in office while training; then Hybrid - 3 days in office, 2 days ...
- 4 Days Ago
Medical Biller/Insurance Specialist
- Advanced Eye MDs, PC
-
Branchburg, NJ
FULL_TIME
- FT Medical Biller/Insurance Specialist. Independent Ophthalmology Practice, located in Branchburg, NJ, is seeking an experienced Medical Biller to join the team! Our optical features a large frame sel...
- 8 Days Ago
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0 Medical Policy Specialist jobs found in Somerset, NJ area
Per Diem Registered Nurse
- Vocational Instruction Project Community Services Inc.
-
Bergenfield, NJ
- Description:Position Title: Registered Nurse Health ServicePosition Reports To: Program Supervisor and Medical DirectorD...
- 4/23/2024 12:00:00 AM
Sr General Liability Claims Adjuster- NY Lic a Plus- Work from Home
- North American Risk Services, Inc. (NARS)
-
Red Bank, NJ
- Job Description Job Description We are seeking a Senior General Liability Claims Adjuster- (NY License ) to become a par...
- 4/22/2024 12:00:00 AM
Sr. General Liability Claims Adjuster- NY Adjuster Lic a Must -Remote
- NARS
-
New York, NY
- Job Description Job Description We are seeking a Senior General Liability Claims Adjuster- (Labor Law a must ) to become...
- 4/22/2024 12:00:00 AM
Medical Nurse Practitioner - Child and Adolescent Population
- CFG Health Network
-
Monroe Township, NJ
- Overview Join CFG Health Systems, the new partner of the Juvenile Justice Commission, and embark on a meaningful career ...
- 4/21/2024 12:00:00 AM
Nurse Practitioner (PD) - Cardiac Service Administration - Livingston, NJ
- RWJ Barnabas
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Livingston, NJ
- JOB SUMMARY: The nurse practitioner functions as an independent care provider in collaboration with the medical/surgical...
- 4/21/2024 12:00:00 AM
Bi-Lingual Worker's Comp Paralegal
- MAGGIANO, DIGIROLAMO and LIZZI PC
-
Fort Lee, NJ
- Job Description Job Description Position Title: Bi-Lingual Worker’s Comp Paralegal Job Requisition: Full-time Bi-Lingual...
- 4/21/2024 12:00:00 AM
Internal Medicine Physician
- Greenlife Healthcare Staffing
-
New York, NY
- JOB TITLE (#2323): Internist / Nursing Home - Brooklyn, NY Board Certified or Board Eligible Greenlife Healthcare Staffi...
- 4/21/2024 12:00:00 AM
Internal Medicine Physician
- Greenlife Healthcare Staffing
-
New York, NY
- JOB TITLE (#2323): Internist / Nursing Home - Brooklyn, NY Board Certified or Board Eligible Greenlife Healthcare Staffi...
- 4/20/2024 12:00:00 AM
About Somerset, New Jersey
Somerset is an unincorporated community and census-designated place (CDP) located within Franklin Township, in Somerset County, New Jersey, United States. As of the 2010 United States Census, the CDP's population was 22,083.
Somerset housed one of the first Marconi Wireless Stations in the United States.
According to the United States Census Bureau, the CDP had a total area of 6.444 square miles (16.692 km2), including 6.327 square miles (16.388 km2) of land and 0.117 square miles (0.304 km2) of water (1.82%)....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$100,536 to $122,721
Somerset, New Jersey area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Medical Policy Specialist do?
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