Medical Policy Specialist jobs in Alabama

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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Medical Policy RN
  • Southern Health Partners
  • Epes, AL FULL_TIME
  • Southern Health Partners has been a leading provider of correctional healthcare for over 28 years. Nursing is a work of heart

    Schedule: 12 hr Day Shift Rotation 7a - 7:30p w/Alternating Weekends

    Sign-On & Retention Bonus Offered

    Deliver patient care, evaluate symptoms, reactions, and progress of patients, chart results, establish nursing plans and work under the boundaries of State Scope of Practice and Guidelines, and Physician/Provider(s)
    Administer prescribed medications in accordance with nursing standards & correctional regulations
    When you join the Southern Health Partners team, you can control the timing of your pay. #Pre-Tax Medical, Dental, & Vision Health Coverage Options
    ~ Short and Long Term Disability
    ~ Company Paid Life Policy
    ~8 Paid Holidays Birthday Off with Pay
    ~ Bi-Weekly Direct Deposit
    ~401K Retirement Plan Eligibility After 1 yr
    ~ EAP Services
    ~ Tuition Discounts and Reimbursement Options
    ~ Medical, Parental, Military Unpaid Leave
    ~ Check us out on Instagram @LifeAtSHP, Facebook @SouthernHealthPartners and Twitter @SHPJailMedical

    All Applicants are subject to Drug Screening and the Issuance of Security Clearance by the Facility in Which Work is to be performed.

  • 18 Days Ago

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Medical Policy RN
  • Southern Health Partners
  • Ralph, AL FULL_TIME
  • Southern Health Partners has been a leading provider of correctional healthcare for over 28 years. Nursing is a work of heart Schedule: 12 hr Day Shift Rotation 7a - 7:30p w/Alternating Weekends Sign-...
  • 18 Days Ago

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Medical Policy RN
  • Southern Health Partners
  • Forkland, AL FULL_TIME
  • Southern Health Partners has been a leading provider of correctional healthcare for over 28 years. Nursing is a work of heart Schedule: 12 hr Day Shift Rotation 7a - 7:30p w/Alternating Weekends Sign-...
  • 21 Days Ago

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Billing Specialist/ Medical Coder
  • Grandview Medical Center
  • VESTAVIA, AL FULL_TIME
  • The primary function of this position is assigning codes to surgical procedures and diagnoses ensuring that codes are assigned correctly and sequenced appropriately as per government and insurance reg...
  • 16 Days Ago

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Medical Assistant Women's Health Specialist-PRN
  • Grandview Medical Center
  • BIRMINGHAM, AL PART_TIME
  • Responsible for assisting the physician in providing direct patient care and health teaching designed to meet the age/developmental specific needs of the health care patients. Delivers quality care by...
  • 4 Days Ago

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Transition of Care Specialist (Medical Referral Clerk)
  • ALABAMA REGIONAL MEDICAL SERVICES
  • Birmingham, AL FULL_TIME
  • SUMMARY: Provides patient information for all individuals who are given a referral for treatment from a Medical Specialist. ESSENTIAL DUTIES AND RESPONSIBILITIES: Develop and maintain ongoing system t...
  • 16 Days Ago

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Inventory Medical Specialist - Materials Services OR
  • Hoag Memorial Hospital Presbyterian
  • ** Inventory Medical Specialist - Materials Services OR** Department: Support Services Status: Full Time Shift: 1st **Pr...
  • 4/16/2024 12:00:00 AM

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Medical Assistant, Medical Specialists
  • UP Health System - Marquette
  • Marquette, MI
  • UP Health System - Marquette Medical Assistant, Medical Specialists, 1.0DV Who We Are: People are our passion and purpos...
  • 4/15/2024 12:00:00 AM

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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...
  • 4/15/2024 12:00:00 AM

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Medical Specialist
  • PSG Global Solutions Careers
  • South San Francisco, CA
  • Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We'...
  • 4/14/2024 12:00:00 AM

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Medical Specialist I
  • Regeneron Pharmaceuticals
  • Orange, CA
  • The Medical Specialist (Sales Representative), Allergy-ENT will report to the District Manager, Allergy-ENT and be respo...
  • 4/14/2024 12:00:00 AM

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Center Medical Specialist - EMT or Paramedic or LPN/LVN or RN
  • GRIFOLS, S.A.
  • Fayetteville, NC
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/14/2024 12:00:00 AM

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Ambulatory Medication Specialist
  • Children's National Medical Center
  • Washington, DC
  • Under the direct supervision of a registered pharmacist and under the leadership the Pharmacy Management staff, the Ambu...
  • 4/12/2024 12:00:00 AM

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(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...
  • 4/12/2024 12:00:00 AM

Alabama (/ˌæləˈbæmə/) is a state in the southeastern region of the United States. It is bordered by Tennessee to the north, Georgia to the east, Florida and the Gulf of Mexico to the south, and Mississippi to the west. Alabama is the 30th largest by area and the 24th-most populous of the U.S. states. With a total of 1,500 miles (2,400 km) of inland waterways, Alabama has among the most of any state. Alabama is nicknamed the Yellowhammer State, after the state bird. Alabama is also known as the "Heart of Dixie" and the "Cotton State". The state tree is the longleaf pine, and the state flower is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$82,200 to $100,338

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