Medical Policy Specialist jobs in Georgia

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)

M
Medical Billing/Collections Specialist
  • Mri Imaging Specialist
  • Norcross, GA FULL_TIME
  • Radiology Imaging Center looking for a skilled Billing and Coding Specialist with knowledge in Accounts Receivable Clerk to provide financial, administrative and clerical services.

    Must have 1 year of experience in Billing & Coding, Insurance Verification and Prior Authorization.

    Must have experience billing all type of Health Insurance, Auto Accident / Workers Compensation.

    Responsibilities

    • Process accounts and incoming payments in compliance with financial policies and procedures
    • Perform day to day financial transactions, including verifying, classifying, computing, posting and recording accounts receivables data
    • Prepare bills and invoices.
    • Reconcile the accounts receivable ledger to ensure that all payments are accounted for and properly posted
    • Verify discrepancies by and resolve clients’ billing issues, appealing denials with insurances and follow up on payments.
    • Generate financial statements and reports detailing accounts receivable status
    • Assisting answering phone, scheduling appointments, check-in & out patients.

    Skills

    • Proven working experience as accounts receivable clerk, accounts receivable manager or accountant
    • Proven ability to calculate, post and manage accounting figures and financial records
    • Data entry skills along with a knack for numbers
    • Hands-on experience in operating Excels spreadsheets, Microsofts
    • Customer service orientation and negotiation skills
    • High degree of accuracy and attention to detail
    • Multi-tasking and Team Player

    Job Type: Full-time

    Pay: $15.00 - $18.00 per hour

    Benefits:

    • Paid time off

    Schedule:

    • Monday to Friday

    Education:

    • High school or equivalent (Preferred)

    Experience:

    • Medical collection: 1 year (Preferred)
    • Medical Billing: 1 year (Preferred)

    Work Location: In person

  • 23 Days Ago

S
Medical Assistant
  • Statesboro OB/GYN Specialist
  • Statesboro, GA FULL_TIME
  • We are seeking an super attentive experienced OB/GYN Medical Assistant to join our busy team. Must be able to fulfill the following duties: Assist the Medical Doctor in the exam room Compile a detaile...
  • 25 Days Ago

M
Medical Records Clerk
  • Mri Imaging Specialist
  • Norcross, GA FULL_TIME
  • We are seeking a detail-oriented Medical Records Clerk to join our healthcare facility. The ideal candidate will have a strong understanding of medical terminology, medical office procedures, and medi...
  • 21 Days Ago

A
Certifed Medical Assistant
  • Albany Vascular Specialist Center
  • Albany, GA FULL_TIME
  • Job Summary We are seeking a Certified Medical Assistant with primary care, vascular care, and wound care experience, to join our very busy vascular office. In this position, you will be responsible f...
  • 1 Month Ago

A
Medical Biller(Bilingual, English/Spanish)
  • Atlanta Hand Specialist
  • Smyrna, GA FULL_TIME
  • Apply to be the newest Medical Biller at Atlanta Hand Specialist. Apply online using the form at the bottom of the page.The Medical Biller at Atlanta Hand Specialist is responsible for the timely subm...
  • 23 Days Ago

G
Planning & Policy Development Specialist
  • Georgia state government
  • Atlanta, GA FULL_TIME
  • Criminal Justice Coordinating Council The Criminal Justice Coordinating Council (CJCC), Criminal Justice Unit (CJ), funds numerous adult programs throughout the state aimed at improving treatment, rec...
  • 2 Days Ago

O
(Physician) Medical Specialist 2
  • Office for People with Developmental Disabilities
  • Thiells, NY
  • Job Description Job Description EMPLOYMENT OPPORTUNITY ANNOUNCEMENT EOA #: 23-061RR EOA DATE: March 15, 2024 REPLY BY: S...
  • 6/11/2024 12:00:00 AM

U
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...
  • 6/10/2024 12:00:00 AM

U
Bio Medical Specialist
  • United Health Services
  • Johnson City, NY
  • Bio Medical Specialist, UHS Wilson Medical Center United Health Services is seeking a Bio Medical Specialist to join our...
  • 6/10/2024 12:00:00 AM

S
Medical Specialist 2
  • State of New York
  • Tupper Lake, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

S
Medical Specialist 1
  • State of New York
  • Tupper Lake, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

S
Medical Specialist 2
  • State of New York
  • Thiells, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

N
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...
  • 6/9/2024 12:00:00 AM

M
Certified Medication Specialist
  • Mosaic
  • Beatrice, NE
  • Schedule: Full-Time Days, Evenings, Overnights Part-Time Evenings If making a positive impact in the lives of others is ...
  • 6/8/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$86,896 to $106,065

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