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)
Description
Position Summary
We are looking for IT professionals with an entrepreneurial drive to support our clients and contribute to a fast-paced team as the company grows. Our Onsite Specialists are proficient in server support, networking, and firewall management; and have experience with support software and security tools. Onsite Specialists provide technical, onsite support for clients and end-users by communicating with affected parties during problem management, both online and in person.
FLSA Status: Non-exempt
Requirements
Major Duties and Responsibilities
Desired Skills, Abilities, Characteristics, and Education
Working Conditions
Adams Brown Technology Specialists, LLC. promotes a flexible work environment with a deep commitment to technology and modern work arrangements. Our office is open from 8:00 am - 5:00 pm Monday through Friday. We are closed on major holidays, offer substantial paid-time-off, a comprehensive benefit package, competitive pay structure, and a culture of growth, clarity, and respect. Additional hours (overtime) and travel may be required. Travel to client offices does not typically require overnight stays. Possible on call duties, with extended hours.
AdamsBrown Technology Specialists, LLC. is an Equal Opportunity Employer.
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