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)

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Medical Assistant - Columbus, GA
  • Southeast Dermatology Specialist
  • Columbus, GA FULL_TIME
  • The Medical Assistant is responsible for providing medical assistance to dermatology physician, including rooming patients, updating all components of the patient’s medical history, documenting reason for visit and history of present illness. Assists the physician with office procedures including, but not limited to, biopsies, surgeries and treatments for various skin conditions.

     

    ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

    • Works as part of a team to see a patient volume of an average of up to 40 patients per day.
    • Basic scribing responsibilities.
    • Takes and documents patient HPI.
    • Updates all patient medical/surgical/family history, medications and allergies
    • Preps and assists numerous surgical procedures such as ED&Cs, shave/punch biopsies, ILK, I&D and others.
    • Preps and assists numerous cosmetic procedures such as Botox, lasers, and others.
    • Preps and assists with excisions or other surgical procedures as needed.
    • Demonstrates strict sterile techniques.
    • Numbs treatment areas as directed.
    • Removes sutures as needed.
    • Logs pathology and transmits pathology orders to appropriate lab.
    • Inputs templates and scribes chart notes as required by physician.
    • Processes RX refills and submits prior authorizations.
    • Operates Narrowband and photodynamic therapy units.
    • Fills liquid nitrogen containers for daily use.
    • Cleans and stocks patient examination rooms and supply areas.
    • Follows infection control practices.
    • Regular and reliable attendance.
    • Perform other duties as assigned.

     

     

    KNOWLEDGE, SKILLS, & ABILITIES:  The requirements listed below are representative of the knowledge, skills and/or abilities required.

     

    Education: High School Diploma or GED

     

    Experience: 0-3 years of medical assistant experience, preferably in dermatology. 

     

    Certifications & Licenses: NA

     

    Technology Applications: Knowledge of Microsoft Office Applications.

     

    PHYSICAL AND MENTAL DEMANDS:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

    While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle or fell objects, tools, or controls; reach with hands and arms; climb stairs; balance, stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell.  The employee must occasionally lift, push, pull and/or move up to 25 pounds.  Repetitive motion of upper body required for extended use of computer.  Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

     

    WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:

    Works in well-lit, ventilated and climate-controlled office environment with routine office equipment; some equipment has moving mechanical parts.

    Noise level in the work environment is typical for an office and/or medical clinic environment.

     

  • 20 Days Ago

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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...
  • 28 Days Ago

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Public Policy Advocacy Policy Development Specialist
  • Georgia Farm Bureau
  • Macon, GA FULL_TIME
  • DESCRIPTION OF ESSENTIAL DUTIES Under supervision of the Director, the APDS will assist with development, advocacy, and implementation of GFB Policy. Additional duties may include: Work with Georgia F...
  • 12 Days Ago

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Public Policy Advocacy Policy Development Specialist
  • GFB
  • MACON, GA FULL_TIME
  • DESCRIPTION OF ESSENTIAL DUTIES Under supervision of the Director, the APDS will assist with development, advocacy, and implementation of GFB Policy. Additional duties may include: Work with Georgia F...
  • 16 Days Ago

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Public Policy Governmental Affairs Specialist
  • Georgia Farm Bureau
  • Macon, GA FULL_TIME
  • DESCRIPTION OF ESSENTIAL DUTIES: Assist in the development of GFB policy. Conduct legislative meetings for county Farm Bureaus and outside groups. Assist county Farm Bureaus in their local legislative...
  • 1 Month Ago

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Public Policy Governmental Affairs Specialist
  • GFB
  • MACON, GA FULL_TIME
  • DESCRIPTION OF ESSENTIAL DUTIES: Assist in the development of GFB policy. Conduct legislative meetings for county Farm Bureaus and outside groups. Assist county Farm Bureaus in their local legislative...
  • 21 Days Ago

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Medical Specialist 1
  • StateJobsNY
  • Tupper Lake, NY
  • Minimum Qualifications: Open Competitive: Possession of a license and current registration to practice medicine in New Y...
  • 4/18/2024 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...
  • 4/17/2024 12:00:00 AM

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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...
  • 4/16/2024 12:00:00 AM

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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 (Gastro)-Greenville, SC
  • Regeneron Pharmaceuticals
  • Columbia, SC
  • The Medical Specialist (Sales Representative), Gastroenterology (MS) will report to the District Manager, Gastroenterolo...
  • 4/14/2024 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
$86,493 to $105,579

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