Medical Policy Specialist jobs in Hilton Head Island, 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)

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Office Specialist - Medical Office
  • TruGreen - Lawn Specialist
  • Savannah, GA FULL_TIME
  • TruGreen is Now Hiring Lawn Specialists!00 per Hour - Comprehensive Benefits 00 per hour Average income is $850 - $1,200 per week* - Based on hourly rate and average bonuses earned for qualifying specialists meeting performance expectations A job that keeps it interesting no two days are alike, and you get to work outside instead of inside a stuffy office Affordable medical and prescription drug plans Financial health resources, including 401k Training & Development You help our customers live life outside.

    Administer timely lawn applications Complete production reports, new sales forms, customer invoice forms, daily vehicle inspection reports, and cancel / skip notices As America’s number one lawn care company, TruGreen is dedicated to using our science-based expertise and local experience to create beautiful, healthy properties across the nation.

    Through our lawn and tree & shrub services, we help improve the health and beauty of outdoor spaces everywhere, so people can live life outside.

    The ability to speak, read, and write fluently in English is required All positions require a valid driver’s license and some may require appropriate state / local licensing We are an Equal Opportunity / Affirmative Action Employer - Minorities / Females / Protected Veterans / Individuals with Disabilities.

    9 hours ago
  • 22 Days Ago

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Medical History Pharmacy Tech Specialist
  • Memorial Health University Medical Center
  • Savannah, GA FULL_TIME
  • Introduction Do you want to join an organization that invests in you as a Medical History Pharmacy Tech Specialist? At Memorial Health University Medical Center, you come first. HCA Healthcare has com...
  • 23 Days Ago

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HVAC Apprentice
  • Georgia Air Specialist
  • Richmond, GA FULL_TIME
  • Georgia Air loves serving families across a large span of Bryan, Chatham, Effingham, and Liberty counties. We value the trust and confidence of every family we serve, continuously striving to uphold o...
  • 14 Days Ago

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In-Home Sales Professional
  • Georgia Air Specialist
  • Richmond, GA FULL_TIME
  • Georgia Air Specialist loves serving families across a large span of Bryan, Chatham, Effingham, and Liberty counties. We value the trust and confidence of every family we serve, continuously striving ...
  • 14 Days Ago

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Experienced Residential HVAC Service Technician
  • Georgia Air Specialist
  • Richmond, GA FULL_TIME
  • Georgia Air loves serving families across a large span of Bryan, Chatham, Effingham, and Liberty counties. We value the trust and confidence of every family we serve, continuously striving to uphold o...
  • 14 Days Ago

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Sales professional
  • Georgia Air Specialist
  • Richmond, GA FULL_TIME
  • Georgia Air Specialist loves serving families across a large span of Bryan, Chatham, Effingham, and Liberty counties. We value the trust and confidence of every family we serve, continuously striving ...
  • 16 Days Ago

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0 Medical Policy Specialist jobs found in Hilton Head Island, SC area

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Physical Therapist PRN Days
  • Tenet Health
  • Hilton Head Island, SC
  • Job Description Physical Therapist PRN Days Position Summary - Administers optimal patient care by planning, organizing ...
  • 3/28/2024 12:00:00 AM

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RN Emergency Room FT Nights
  • Tenet Health
  • Hilton Head Island, SC
  • Job Description RN Emergency Room FT Nights Position Summary Provides direct patient care to include assessment, plannin...
  • 3/28/2024 12:00:00 AM

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Nursing Graduate ED FT
  • Tenet Health
  • Hilton Head Island, SC
  • Job Description Nursing Graduate ED Full Time Days Position Summary This is a developmental program for graduate nurses ...
  • 3/27/2024 12:00:00 AM

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RN Specialty ED FT Nights
  • Tenet Health
  • Hilton Head Island, SC
  • Job Description RN Specialty ER Full Time Nights Position Summary Provides direct patient care to include assessment, pl...
  • 3/27/2024 12:00:00 AM

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Monitor Tech PCU Full Time Nights
  • Tenet Health
  • Hilton Head Island, SC
  • Job Description About Hilton Head Regional Healthcare Hilton Head Regional Healthcare provides comprehensive healthcare ...
  • 3/27/2024 12:00:00 AM

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RN Recovery Full Time Days
  • Tenet Health
  • Hardeeville, SC
  • Job Description About Hilton Head Regional Healthcare Hilton Head Regional Healthcare provides comprehensive healthcare ...
  • 3/27/2024 12:00:00 AM

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CDL-A Truck Driver - Home Weekly - Earn $85k-$115k/Year + $5k Sign-On
  • Service Transportation
  • Hilton Head Island, SC
  • Service Transportation is Now Hiring Experienced* CDL-A Company Drivers Home Weekly - Earn Up to $115,000 Yearly $5,000 ...
  • 3/27/2024 12:00:00 AM

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Travel Registered Nurse RN Progressive Care Unit PCU
  • OneStaff Medical
  • Hilton Head Island, SC
  • We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to w...
  • 3/25/2024 12:00:00 AM

Hilton Head Island, sometimes referred to as simply Hilton Head, is a Lowcountry resort town and barrier island in Beaufort County, South Carolina, United States. It is 20 miles (32 km) northeast of Savannah, Georgia, and 95 miles (153 km) southwest of Charleston. The island is named after Captain William Hilton, who in 1663 identified a headland near the entrance to Port Royal Sound, which mapmakers named "Hilton's Headland." The island features 12 miles (19 km) of beachfront on the Atlantic Ocean and is a popular vacation destination. In 2004, an estimated 2.25 million visitors pumped more t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$83,326 to $101,713
Hilton Head Island, South 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