Medical Policy Specialist jobs in South Carolina
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
Medical Billing Specialists
- Coastal Fertility Specialist
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Charleston, SC
FULL_TIME
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Coastal Fertility Specialists (CFS) consists of 5 clinical and 2 administrative offices and over 110 employees including RN's, NP's, 5 physicians, and a complete embryology team all driven to be the best Reproductive Endocrinology practice in the southeast! We have won 3 consecutive national patient satisfaction awards and have pregnancy rates in the top 10% of the country. We pride ourselves in employee satisfaction!
CFS is growing and has an immediate opening for a Medical Billing Specialist. This is a full-time position of approximately 40 hours per week and is based out of our North Charleston office (Ashley Phosphate).
In this role duties will include:
- Posting daily charges into practice's billing software. Charges must be entered within 3 days for non-cycle charges and within 6 days for cycle charges.
- Daily balancing and processing of claims
- Following up with insurance companies regarding claim submissions and payments
- Answering patient questions regarding their billing statements
- Transmitting electronic claims through the Clearinghouse
- Collections
- Accounts Receivable
- General understanding of ICD-10 & CPT coding experience is required; working knowledge of Allscripts Practice Management software is preferred.
For more information about our practice please visit our website at www.coastalfertilityspecialists.com. - 1 Month Ago
IT Specialist (Policy and Planning)
- U.S. Army Cyber Command
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Jackson, SC
FULL_TIME
- Duties Ensure the overall management, coordination, and preparation for execution of assigned projects. As the IT project manager, implement Army decisions, guidance, laws, regulations, and policies i...
- 8 Days Ago
Policy Analysis Program Specialist
- Administration for Children and Families
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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 ...
- 10 Days Ago
Supervisory IT Specialist (Policy and Planning/Security)
- U.S. Army Central
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Shaw, SC
FULL_TIME
- Duties Serves as the Chief, Mission Training Complex Information Technology Plans/Cyber Security Branch. Provides management and leadership to the Simulations/Technical Support section. Resolves criti...
- 14 Days Ago
Medical Billing Specialist
- Premier Medical
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Charleston, SC
FULL_TIME
- JOB SUMMARY: The Medical Billing Specialist is a full-time position that reports to the Billing Team Lead of a primary/urgent care practice, and is responsible for billing/coding and submitting claims...
- 10 Days Ago
Medical Collections Specialist
- Trident Medical Center
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Charleston, SC
FULL_TIME
- THIS IS A WORK FROM HOME POSITION SCHEDULE REQUIRES 1 Saturday per month and 1 Evening per week(up to 9:00 PM). Introduction Do you have the career opportunities as a Medical Collections Specialist yo...
- 15 Days Ago
Medical Policy Specialist jobs at Popular Companies
Medical Assistant/ Medication Specialist
- Nidraveda PA
-
San Antonio, TX
- Job Description Job Description We are looking for someone with a professional attitude, a dedication to healthcare, and...
- 4/25/2024 12:00:00 AM
Medical Specialist
- PSG Global Solutions Careers
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South San Francisco, CA
- Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We'...
- 4/24/2024 12:00:00 AM
Medical Specialist I (Gastro)-Greenville, SC
- Regeneron Pharmaceuticals
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Columbia, SC
- The Medical Specialist (Sales Representative), Gastroenterology (MS) will report to the District Manager, Gastroenterolo...
- 4/24/2024 12:00:00 AM
Medical Specialist 1
- StateJobsNY
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Tupper Lake, NY
- Minimum Qualifications: Open Competitive: Possession of a license and current registration to practice medicine in New Y...
- 4/23/2024 12:00:00 AM
Medical Assistant, Medical Specialists
- UP Health System - Marquette
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Marquette, MI
- UP Health System - Marquette Medical Assistant, Medical Specialists, 1.0DV Who We Are: People are our passion and purpos...
- 4/22/2024 12:00:00 AM
(Physician) Medical Specialist 2
- Office for People with Developmental Disabilities
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Thiells, NY
- Job Description Job Description EMPLOYMENT OPPORTUNITY ANNOUNCEMENT EOA #: 23-061RR EOA DATE: March 15, 2024 REPLY BY: S...
- 4/22/2024 12:00:00 AM
Medical Specialist
- U.S. Air Force Reserve
-
- Position Summary Our hundreds of medical facilities around the world are only as good as the staff who run them. Providi...
- 4/21/2024 12:00:00 AM
Inventory Medical Specialist - Materials Services OR
- Hoag Memorial Hospital Presbyterian
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- ** Inventory Medical Specialist - Materials Services OR** Department: Support Services Status: Full Time Shift: 1st **Pr...
- 4/21/2024 12:00:00 AM
About South Carolina
South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River.
South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868.
South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$84,436 to $103,068
Most Popular Cities in South Carolina for Medical Policy Specialist Jobs
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