Medical Policy Specialist jobs in Winston Salem, 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)

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Medical Policy RN
  • Heritage Hall Healthcare & Rehab Center
  • Laurel Fork, VA FULL_TIME
  • At Heritage Hall, we regard patients as cherished members of our extended family.

    We prioritize providing both patients and their families with peace of mind, assuring them through our actions that their loved ones are under the attentive and capable care of our dedicated team.

    Before applying for this role, please read the following information about this opportunity found below.

    Each of our centers reflects the culture and essence of the community it serves, and our team is wholeheartedly committed to treating patients and families with the same level of care and compassion we would offer our own loved ones.

    Are you a Registered Nurse seeking to be part of a team and leadership that's ready to roll up their sleeves and ensure top-notch care for patients? We're looking for individuals who share our commitment to compassionate care.

    As a Registered Nurse in our team, you will build relationships with patients and families making a significant impact through holistic care to ensure the best quality of life.

    Join us in making a difference in the lives of our extended Heritage Hall family.


    Qualifications:
    Must have ASN or BSN degree from an accredited college
    Must have an active RN license in the state of Virginia
    Experience in long-term care preferred
    Ability to communicate effectively with a variety of individuals
    Ability to read and understand written and oral instructions
    Knowledge of nursing practices and procedures
    Knowledge of laws, regulations, and guidelines governing nursing in a long-term care facility
    Ability to make independent decisions
  • Just Posted

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Postdoctoral Research Fellow, Social Sciences and Health Policy
  • Wake Forest Baptist Health
  • Salem, NC FULL_TIME
  • The Department of Social Sciences and Health Policy invites applications for a Postdoctoral Research Fellow position in health equity research. Current projects focus on HIV prevention and interventio...
  • 21 Days Ago

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Medical Assistant
  • Bethany Medical
  • Mount Airy, NC FULL_TIME
  • Job descriptionJob DescriptionEstablished Independent Multi-Specialty Practice Seeking a Full Time Medical Assistant- CMA/RMA to join our team in Mt. Airy, NC!Our mission at BMC is to provide excellen...
  • 17 Days Ago

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Medical assistant
  • My Medical Career
  • Galax, VA FULL_TIME
  • Interested in online medical assisting training? My Medical Career can help! Rapid ONLINE Medical Assistant Training National Accreditation You Can Count On Financial Aid Assistance* Career Placement ...
  • 4 Days Ago

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Medical assistant
  • My Medical Career
  • Yadkinville, NC FULL_TIME
  • Interested in online medical assisting training? My Medical Career can help! Rapid ONLINE Medical Assistant Training National Accreditation You Can Count On Financial Aid Assistance* Career Placement ...
  • 5 Days Ago

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Medical assistant
  • My Medical Career
  • Advance, NC FULL_TIME
  • Interested in online medical assisting training? My Medical Career can help! Rapid ONLINE Medical Assistant Training National Accreditation You Can Count On Financial Aid Assistance* Career Placement ...
  • 1 Month Ago

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0 Medical Policy Specialist jobs found in Winston Salem, NC area

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Principal Industrial Designer (Hybrid)
  • Collins Aerospace
  • Winston-Salem, NC
  • Date Posted: 2024-03-05 Country: United States of America Location: HNC32: US096-Winston-Salem (Oak Plaza 190 Oak Plaza ...
  • 3/29/2024 12:00:00 AM

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Registered Nurse - Inpatient Rehab
  • Advantis Medical Staffing
  • Winston Salem, NC
  • Job Description Advantis Medical is seeking an experienced Inpatient Rehab Registered Nurse for a 13 week travel assignm...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Stepdown - $1,882 per week
  • Premier Medical Staffing
  • Winston Salem, NC
  • Job Description Premier Medical Staffing is seeking a travel nurse RN Stepdown for a travel nursing job in Winston-Salem...
  • 3/28/2024 12:00:00 AM

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staff - Registered Nurse (RN) - PACU - Post Anesthesia Care - $22-40 per hour
  • All's Well Healthcare Services
  • Winston Salem, NC
  • Job Description All's Well Healthcare Services is seeking a Registered Nurse (RN) PACU - Post Anesthesia Care for a nurs...
  • 3/28/2024 12:00:00 AM

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Master Scheduler (Onsite)
  • Raytheon Technologies
  • Winston Salem, NC
  • Date Posted: 2024-03-15 Country: United States of America Location: HNC31: US095-Winston-Salem (Fairchild 1455 Fairchild...
  • 3/27/2024 12:00:00 AM

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Mechanical Design Engineer (Onsite)
  • Raytheon Technologies
  • Winston Salem, NC
  • Date Posted: 2024-03-15 Country: United States of America Location: HNC31: US095-Winston-Salem (Fairchild 1455 Fairchild...
  • 3/27/2024 12:00:00 AM

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Dentist
  • Forsyth County, NC
  • Winston Salem, NC
  • Salary: Depends on Qualifications Location : Winston-Salem, NC Job Type: Full Time Job Number: 05197 Department: Public ...
  • 3/27/2024 12:00:00 AM

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Nurse Practitioner
  • Cityblock Health
  • Winston Salem, NC
  • About Us: Cityblock Health is the first tech-driven provider for communities with complex needsbringing better care to w...
  • 3/27/2024 12:00:00 AM

Winston-Salem is a city in and the county seat of Forsyth County, North Carolina, United States. With a 2019 estimated population of 251,907 it is the second largest municipality in the Piedmont Triad region, the fifth most populous city in North Carolina, and the eighty-ninth most populous city in the United States. With a metropolitan population of 676,673 it is the fourth largest metropolitan area in North Carolina and is expected to keep that fourth spot for many more years. Winston-Salem is home to the tallest office building in the region, 100 North Main Street, formerly the Wachovia Bui...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$85,594 to $104,482
Winston Salem, North Carolina 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