Medical Policy Specialist jobs in Wilmington, NC
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
Fundraising Specialist
- Little River Medical Center, Inc.
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Little River, SC
FULL_TIME
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Fundraising SpecialistPOSITION SUMMARYThe Fundraising Specialist will play a vital part in supporting the mission of Little River Medical Center, Inc. by helping us secure the necessary resources to provide quality care to all individuals, regardless of their financial situation.WHY LRMC:Little River Medical Center is a non-profit community health center within Horry County. At Little River Medical Center, we strive to offer exceptional health services and deliver quality, compassionate care to everyone. We provide a wide range of affordable health and support services for every family.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following but not limited to:
- Develop and implement effective fundraising strategies to support the financial sustainability of the Little River Medical Center.
- Cultivate relationships with donors, community partners, and local businesses to build a strong network of support.
- Work with LRMC Board members on fundraising committee to assist as needed.
- Identify and pursue various fundraising opportunities, such as grants, corporate sponsorships, individual donations, special events, and online campaigns.
- Collaborate with the Director of Community Development to create compelling fundraising materials, including brochures, newsletters, and social media content, that resonate with our community and inspire philanthropic giving.
- Manage donor databases and ensure accurate and up-to-date records of contributions, acknowledgments, and donor communications.
- Research and stay informed about current trends and best practices in fundraising, incorporating innovative strategies to maximize donor engagement and retention.
- Organize and coordinate fundraising events, including logistics, volunteer recruitment, and donor stewardship activities.
- Collaborate with senior leadership and staff to gather information and success stories that showcase the impact of our services, using this content to drive fundraising efforts.
- Provide regular reports to senior leadership on fundraising progress, financial goals, and donor engagement metrics.
- Demonstrate a deep understanding and commitment to the mission, vision, and values of Little River Medical Center, conveying these principles to donors and the community.
- Represent the organization in a positive and professional manner in the community.
- Other related duties may be assigned.
QUALIFICATIONSTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.EDUCATION and/or EXPERIENCE:- Bachelor's degree in communications, nonprofit management, marketing, or a related field (or equivalent experience).
- Proven experience in fundraising, donor cultivation, or sales with a track record of successfully meeting or exceeding financial targets.
- Strong interpersonal skills with the ability to build and maintain relationships with donors, community partners, and volunteers.
- Excellent written and verbal communication skills, with the ability to create compelling narratives that inspire philanthropic support.
- Knowledge of fundraising strategies, techniques, and best practices, including grant writing, major gifts, and direct mail campaigns.
- Proficiency in using donor management software and fundraising platforms to track and analyze donor data.
- Exceptional organizational and project management skills, with the ability to prioritize and manage multiple fundraising initiatives simultaneously.
- Collaborative team player with a positive attitude and a willingness to adapt to new challenges.
- A genuine passion for serving the community and improving the well-being of individuals through accessible healthcare.
- Ability to represent Little River Medical Center in a professional and compassionate manner, demonstrating our commitment to inclusivity and diversity.
LRMC offers benefits such as:- Medical, Vision & Dental insurance.
- Employer matched 403B Retirement Plan.
- Paid Vacation time, Sick time, & Holiday's. As well as paid qualifying Administrative Leave.
- Employer Paid Health Benefits: Life / AD&D Policies, Short/Long Term Disability, and a Employee Assistant Plan.
- 21 Days Ago
Insurance Verification Specialist
- Atlantic Medical Management
-
Jacksonville, NC
FULL_TIME
- RCM INSURANCE VERIFICATION SPECIALIST performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Fol...
- 1 Month Ago
Medical Assistant---- Mobility Specialist/Medical Scribe
- Joint Technology, Inc.
-
Wilmington, NC
FULL_TIME
- Work inside primary care office; Necessary skills include; Medical terminology with good spelling Scribing information into clinical notes Basic computer skills Keyboard skills Desire to help patients...
- 1 Month Ago
Patient Services Specialist
- Little River Medical Center, Inc.
-
Little River, SC
FULL_TIME
- Patient Services Specialist POSITION SUMMARY Verifies insurance and sliding fee eligibility prior to patient appointments to reduce patient wait time. Corrects insurance prior to the visit to minimize...
- 1 Month Ago
Call Center Agent
- Reservation Center Specialist for European Wax Center
-
Newport, NC
PART_TIME
- This is a Remote/Work From Home Position but applicants must live within 30 miles of Newport, NC. Would you prefer to skip the commuting time and constantly filling up your gas tank? Does working from...
- Just Posted
Certified Coding Specialist - Remote (NC or SC)
- Little River Medical Center, Inc.
-
Little River, SC
FULL_TIME
- Certified Coding Specialist - Remote NC or SC * Medical Office Billing Experience Required! * Must be willing / able to commute to the office in Little River, SC during the first 90-day training peri...
- 1 Month Ago
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0 Medical Policy Specialist jobs found in Wilmington, NC area
Recreation Specialist - MLK - Part-Time
- City of Wilmington, NC
-
Wilmington, NC
- Location : Wilmington, NC Job Type: Part Time Job Number: 24-00268 Department: Parks and Recreation Opening Date: 04/18/...
- 4/26/2024 12:00:00 AM
CDL-A Truck Driver - Home Weekly - Earn $85k-$115k/Year + $5k Sign-On
- Service Transportation
-
Wilmington, NC
- Service Transportation is Now Hiring Experienced* CDL-A Company Drivers Home Weekly - Earn Up to $115,000 Yearly $5,000 ...
- 4/26/2024 12:00:00 AM
Travel Nurse RN - Med Surg - $1,894 per week
- Hiring Now!
-
Wilmington, NC
- OneStaff Medical is seeking a travel nurse RN Med Surg for a travel nursing job in Wilmington, North Carolina. Job Descr...
- 4/26/2024 12:00:00 AM
Statistical Programmer & Epidemiologist
- Talent Groups
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Wilmington, NC
- Education fields: Epidemiology, Health Economics, Biostatistics, or related field PhD with at least 3 years of relevant ...
- 4/26/2024 12:00:00 AM
Customer Service Representative
- Caliber Collision
-
Wilmington, NC
- Service Center Wilmington - Market Street Caliber Collision has an immediate job opening for a Customer Service Represen...
- 4/26/2024 12:00:00 AM
Customer Service Representative
- Castlebranch, Inc.
-
Wilmington, NC
- ** Customer Service Representative** **Job Category****:** Customer Success **Requisition Number****:** CUSTO01446 Showi...
- 4/26/2024 12:00:00 AM
Vocational Case Manager
- Genex Services
-
Wilmington, NC
- Company Overview: The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Ge...
- 4/25/2024 12:00:00 AM
Detailer (flat rate) 530310 (Wilmington, NC)
- Teph Seal Auto Appearance
-
Wilmington, NC
- Overview: Flat Rate Detail Shop Position(s) Available. Are you a team player who is focused on providing exemplary custo...
- 4/25/2024 12:00:00 AM
About Wilmington, North Carolina
Wilmington is a port city and the county seat of New Hanover County in coastal southeastern North Carolina, United States.
With a population of 119,045 in 2017, it is the eighth most populous city in the state. Wilmington is the principal city of the Wilmington Metropolitan Statistical Area, a metropolitan area that includes New Hanover and Pender counties in southeastern North Carolina, which has a population of 263,429 as of the 2012 Census Estimate.
Wilmington was settled by the English along the Cape Fear River. The city was named after Spencer Compton who was the Earl of Wilmington. Its ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$81,931 to $100,011
Wilmington, North Carolina 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