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)
Equal Opportunity Employer** OneStaff Medical Job ID # Pay package is based on 10 hour shifts and 38 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About OneStaff MedicalWe'll take care of you while you are away from your own "home base" in every way we can, and ideally do more than you expect.
We take great pride in building relationships with our traveling professionals and we enjoy hearing about your experiences. Whatever the need, we are here to help along the journey.Whether it is housing, payroll, travel, benefits, or just a friendly voice to talk to, we are there every step of the way.
The company you choose is the most important decision you will make in your traveling career.We're your "one" solution in travel assignments and here to assist whether helping with accelerating your trajectory towards your career goals or meeting your travel requirements.
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0 Medical Policy Specialist jobs found in Springfield, OH area