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)
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.
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.