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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Job Type
Full-time
Phoenix, AZ
Overview
We welcome warm, experienced, independent, forward-out of the box thinking and reliable medical professionals. Our goal is to provide care of integrity with competence, warmth, and professional patient centered care, with positive staff and referent interactions and experiences daily.
Responsibilities
The Advanced Medical Assistant serves as the leader in the practice and performs all duties as an MA but leads the practice and sets an example to follow by other Medical Assistant. The Advanced MA coordinates both direct and indirect patient care job functions in the clinic. It is important that you have a strong work history of independently working in the front and back office successfully and leading from the front. Responsibilities include both front and back-office duties.
Front Office:
Back Office:
Completion of an MA training program and certification (Required)Bilingual, English/Spanish (Required)Basic Life Support (BLS Required) Fingerprint Clearance Card - Must have a current fingerprint clearance card or have the ability to obtain within 1-2 weeks of being offered the position EMR systems: 3 years (Preferred)Vital signs: 3 years (Preferred)Front/Back Office: 3 years (Preferred)