Medical Policy Specialist jobs in Columbia, SC

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

A
Policy Analysis Program Specialist
  • Administration for Children and Families
  • Columbia, SC FULL_TIME
  • This position is located in the Department of Health and Human Services, Administration for Children and Families, Office of Refugee Resettlement (ORR), UC Policy/Policy Coordination Team, located in Anywhere in the U.S. (remote job).

    Salary: The salary range indicated in this announcement will be adjusted to include locality payment for selected duty location. General Schedule locality pay tables may be found under Salaries & Wages.
  • 4 Days Ago
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B
Veterinary Medical Record Specialist
  • Battle Animal Care Clinic
  • Hopkins, SC FULL_TIME,PART_TIME
  • Job Summary: We are seeking a detail-oriented Records Specialist to join our team. The ideal candidate will have experience in medical office settings and possess knowledge of medical records and term...
  • 1 Day Ago
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Medical Billing Specialist
  • Physician Practice
  • Columbia, SC FULL_TIME
  • Family-oriented physician practice management company in NE Columbia is seeking to hire experienced and driven professionals in the medical billing field. Responsibilities include the billing and acco...
  • 7 Days Ago
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T
HIM/MEDICAL RECORDS SPECIALIST
  • Three Rivers Behavioral Health
  • West Columbia, SC FULL_TIME
  • Responsibilities: Full Time Medical Records Specialist Opportunity Three Rivers Behavioral Health is a 129-bed treatment facility that specializes in quality behavioral health and substance abuse serv...
  • 1 Month Ago
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Medical Billing Specialist (FT)
  • Midlands Neurology and Pain Associates, P.A.
  • Columbia, SC FULL_TIME
  • Medical Billing Specialist In-Office Position.This is Not a Remote Position. Medical Billing Specialist. The ideal candidate will be responsible for all aspects of billing including accounts receivabl...
  • 18 Days Ago
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Medical Billing Specialist
  • Midlands Neurology and Pain Associates, P.A.
  • Columbia, SC FULL_TIME
  • Medical Billing Specialist In-Office Position.This is Not a Remote Position. Medical Billing Specialist. The ideal candidate will be responsible for all aspects of billing including accounts receivabl...
  • 22 Days Ago
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0 Medical Policy Specialist jobs found in Columbia, SC area

H
Primary Care Physician
  • Hiring Now!
  • Columbia, SC
  • Were unique. You should be, too. Were changing lives every day. For both our patients and our team members. Are you inno...
  • 4/17/2024 12:00:00 AM
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Maintenance Mechanic - Production machinery
  • Path Engineering
  • Cayce, SC
  • ```Role As a Mechanical Maintenance Technician (also known as Equipment Maintenance Specialist, Industrial Mechanic), yo...
  • 4/17/2024 12:00:00 AM
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B
Remote Collections Specialist
  • BCA Financial Services, Inc.
  • Columbia, SC
  • REMOTE POSITION - Actively Hiring ($17 per hour with bonus opportunities) Life is Short. Do Work that Matters. BCA Finan...
  • 4/15/2024 12:00:00 AM
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R
Medical Specialist I (Gastro)-Greenville, SC
  • Regeneron Pharmaceuticals
  • Columbia, SC
  • The Medical Specialist (Sales Representative), Gastroenterology (MS) will report to the District Manager, Gastroenterolo...
  • 4/14/2024 12:00:00 AM
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Social Content Specialist - South Carolina Gamecocks
  • Learfield
  • Columbia, SC
  • As a member of the Social+ team, the Social Content Specialist will serve as an extension of the local property sales st...
  • 4/14/2024 12:00:00 AM
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O
Mobile Injury Response Technician Certified Nursing Assistant
  • On-Site Health & Safety
  • Columbia, SC
  • Have you enjoyed working as a CNA but wish your role involved more skills, better wages, and a viable opportunity for ca...
  • 4/14/2024 12:00:00 AM
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Travel Outpatient Physical Therapy Assistant - $1,295 per week
  • Hiring Now!
  • Cayce, SC
  • Jackson Therapy Partners is seeking a travel Outpatient Physical Therapy Assistant for a travel job in Cayce, South Caro...
  • 4/14/2024 12:00:00 AM
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Travel Physical Therapy Assistant - $1,227 per week
  • Hiring Now!
  • Cayce, SC
  • OneStaff Medical is seeking a travel Physical Therapy Assistant for a travel job in Cayce, South Carolina. Job Descripti...
  • 4/14/2024 12:00:00 AM
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About Columbia, South Carolina

One of Columbia's more prominent geographical features is its fall line, the boundary between the upland Piedmont region and the Atlantic Coastal Plain, across which rivers drop as falls or rapids. Columbia grew up at the fall line of the Congaree River, which is formed by the convergence of the Broad River and the Saluda River. The Congaree was the farthest inland point of river navigation. The energy of falling water also powered Columbia's early mills. The city has capitalized on this location which includes three rivers by christening itself "The Columbia Riverbanks Region". Columbia is lo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$82,915 to $101,212
Columbia, South Carolina area prices
were up 1.5% from a year ago
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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