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)
SRMC Has an Exciting Opportunity for Qualified Candidates!
Position: Full Time Medical Billing Specialist
Department: Patient Accounting
Shift: Varied, Primarily Days
PURPOSE
Performs a specific operational responsibility within a functional unit within revenue cycle management including customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.
QUALIFICATIONS
BENEFITS
· Competitive wages
· Medical/prescription insurance
· Dental insurance
· Vision insurance
· Accident and critical insurance
· Employer paid life insurance
· 403 (b) retirement with employer matching
· Tuition reimbursement
· Continuing education reimbursement
· Cafeteria discounts
· Employee Assistance Program
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0 Medical Policy Specialist jobs found in Youngstown, OH area