Medical Policy Specialist jobs in Tallahassee, 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)

H
Medical Records Specialist PRN
  • HCA Florida Capital Hospital
  • Tallahassee, FL FULL_TIME
  • Introduction

    Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Medical Records Specialist PRN with HCA Florida Capital Hospital you can be a part of an organization that is devoted to giving back!

    Benefits

    HCA Florida Capital Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

    • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
    • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
    • Free counseling services and resources for emotional, physical and financial wellbeing
    • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
    • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
    • Family support through fertility and family building benefits with Progyny and adoption assistance.
    • Referral services for child, elder and pet care, home and auto repair, event planning and more
    • Consumer discounts through Abenity and Consumer Discounts
    • Retirement readiness, rollover assistance services and preferred banking partnerships
    • Education assistance (tuition, student loan, certification support, dependent scholarships)
    • Colleague recognition program
    • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
    • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

    Learn more about Employee Benefits

    Note: Eligibility for benefits may vary by location.


    Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the HCA Florida Capital Hospital family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Medical Records Specialist PRN to help us reach our goals. Unlock your potential!

    Job Summary and Qualifications

    As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. In addition, you will serve as the primary point of contact when the HIM Director and/or HIM Coordinator is unavailable.

    In this role you will:

    • Retrieves discharged medical records from various departments in the hospital and reconciles them to ensure that all records are accounted for.
    • Facilitates the retrieval and printing of medical records from storage, as well as the storage, archival and record retention of documents and/or other Alternate Media that cannot be scanned into HPF/MPF (e.g., fetal monitor strips).
    • May assist with the physician suspension process by evaluating if a physician should be put on suspension, creating the list of recommended suspensions for approval, sending out notice letters, making reminder calls, etc.
    • Prepares medical records and loose documents for scanning.
    • Scans medical record documents.
    • Indexes medical record documentation.
    • Performs a paper document to PC screen quality control validation to ensure that all documents associated with each record have been scanned.
    • Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.
    • Interacts with the parents to collect and document the birth information, delivering the appropriate forms to them and providing guidance in the completion of the forms.
    • Works with the parents to complete the Acknowledgment of Paternity form, which can require patience, diplomacy, and sensitivity if there is conflict regarding parental responsibility.
    • Reviews patient medical records and other resources, as needed, to obtain required birth information.

    What qualifications you will need:

    • High school diploma or GED preferred
    • Hospital or medical office experience preferred, but not required. Previous experience in the handling of patient health information, medical records document imaging and/or medical records is strongly preferred.
    • Completing a certification program from the state(s) may be required for birth certificate processing, training and course fees will be provided.

    "

    Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

    HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

    "


    "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder

    Be a part of an organization that invests in you! We are reviewing applications for our Medical Records Specialist PRN opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

    We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

  • 19 Days Ago

A
Medical Transportation Specialist
  • Aryv
  • Quincy, FL PART_TIME,FULL_TIME,CONTRACTOR
  • We have consistent work, flexible schedules, and great income for you. (No Experience Needed) We’re looking for On-Demand Drivers that can help transport medical patients to their doctors appointments...
  • Just Posted

T
Medical Office Specialist
  • Tallahassee Primary Care Associates
  • Tallahassee, FL FULL_TIME
  • *Previous Applicants Need Not Apply* Previous medical receptionist experience, Electronic Medical Records (EMR) experience and proficiency with technology is preferred. The candidate must be available...
  • 1 Day Ago

T
Medical Front Office Specialist
  • Tallahassee Allergy,Asthma & Immunology
  • Tallahassee, FL FULL_TIME
  • MEDICAL FRONT OFFICE SPECIALIST Looking for a friendly, self-starter to join our fast-paced medical office team. We are in need of a receptionist to work the front desk answering phones and checking p...
  • 1 Day Ago

N
Medical Front Office Specialist
  • Nature Coast Women's Care & Family Medicine
  • Tallahassee, FL FULL_TIME
  • Nature Coast Women's Care & Family Medicine needs an experienced Medical Front Office Specialist. We're looking for a professional who believes that patients should be treated as people rather than nu...
  • 12 Days Ago

H
Medical Office Specialist
  • HCA Florida Capital Surgical Specialists
  • Tallahassee, FL FULL_TIME
  • Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Office Specialist opening with HCA Florida Capital Surgical Specialist...
  • 12 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Tallahassee, FL area

G
GPRS Project Manager - Tallahassee, FL
  • GPRS
  • Tallahassee, FL
  • Job Details Job Location Tallahassee - Tallahassee, FL Position Type Full Time Education Level High School Diploma / GED...
  • 4/26/2024 12:00:00 AM

D
Associate Veterinarian - Urgently Hiring, Amazing Opportunity, Sign-On Bonus - Tallahassee, FL
  • Desort
  • Tallahassee, FL
  • Full time Associate Veterinarian - Urgently Hiring, Amazing Opportunity, Sign-On Bonus - Tallahassee, FL We are looking ...
  • 4/26/2024 12:00:00 AM

H
Nurse Practitioner Tallahassee, FL
  • Healthcare Recruitment Counselors
  • Tallahassee, FL
  • Nurse Practitioner Tallahassee, FL We are looking for a motivated Nurse Practitioner to join our medical practice in Tal...
  • 4/24/2024 12:00:00 AM

P
Structural Engineer (Okinawa, JPN)
  • Planate Management Group
  • Tallahassee, FL
  • Planate Management Group (PMG) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Alexandria, ...
  • 4/24/2024 12:00:00 AM

F
APRN (DNP) Open Rank Clinical Professor, 12 Months Salaried (Family Medicine & Rural Health)
  • Florida State University
  • Tallahassee, FL
  • Department College of Medicine, Family Medicine & Rural Health Responsibilities The Florida State University College of ...
  • 4/24/2024 12:00:00 AM

H
RN Clinical Nurse Coordinator Oncology
  • HCA
  • Tallahassee, FL
  • Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for ...
  • 4/24/2024 12:00:00 AM

N
Security Operations Analyst (SOC) (flexible location)
  • Nes Global Talent
  • Tallahassee, FL
  • Apply: Security Operations Analyst (SOC) (flexible location) Reference: JO-2311-6514-5As the premier design, engineering...
  • 4/24/2024 12:00:00 AM

E
Business Analyst III
  • Elevance Health
  • Tallahassee, FL
  • Be Part of an Extraordinary TeamBioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud me...
  • 4/24/2024 12:00:00 AM

Tallahassee (/ˌtæləˈhæsi/) is the capital city of the U.S. state of Florida. It is the county seat and only incorporated municipality in Leon County. Tallahassee became the capital of Florida, then the Florida Territory, in 1824. In 2017, the population was 191,049, making it the 7th-largest city in the U.S state of Florida, and the 126th-largest city in the United States. The population of the Tallahassee metropolitan area was 382,627 as of 2017[update]. Tallahassee is the largest city in the Florida Panhandle region, and the main center for trade and agriculture in the Florida Big Bend and S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$80,590 to $98,373
Tallahassee, 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