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)
Peak Partners is looking to add a Medical Billing Specialist to our team!
We are looking for an experienced, dedicated, and detail-oriented individual to come alongside us to help better serve our clients. Peak Partners is a third-party medical billing company offering services in medical credentialing and billing to help small businesses succeed! If you feel you may be a good fit, please apply!
*Duties may include:
*QUALIFICATIONS* ·
Job Type: Full-time
Pay: From $19.00 per hour
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Work Location: In person