Medical Policy Specialist jobs in New Jersey

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)

S
Medical Billing Specialist
  • Specialist Physician Practice
  • Toms River, NJ FULL_TIME
    • Posting charges, payments and claims follow-up
    • Handle and resolve multiple and complex billing issues on a daily basis
    • Demonstrate outstanding work ethic by working cooperatively with all team members
    • Maintain strict confidentiality with regard to protected health information and adheres to HIPAA Privacy and Security policies and procedures
    • Full-Time, Long-Term Fit
    • NO Weekends

    Follow Up, AR Follow Up, Payment Posting, Charge Entry Medical Billing Specialist (Healthcare Medical Coder)

    Job Requirements Successful candidates for the Medical Billing Specialist should have a familiarity with third party fee profiles and reimbursement requirements. Someone who is detail-oriented and able to meet targeted deadlines would be a good fit for this healthcare billing role. Additional requirements of the Medical Billing Specialist include:

    • Full Revenue Cycle experience in Healthcare helpful
    • This includes: Payment Posting, Billing, Charge Entry and AR Follow Up
    • Candidates MUST be familiar with icd 10 codes

    *

    Job Type: Full-time

    Benefits:

    • 401(k)
    • Health insurance
    • Paid time off

    Schedule:

    • Monday to Friday

    Work setting:

    • Private practice

    Experience:

    • ICD-10: 1 year (Required)

    Work Location: In person

  • 1 Day Ago

2
Medical Assistant
  • 24/7 Heart and Vascular Specialist
  • Kendall, NJ PART_TIME
  • Cardiology practice is seeking a self-starting, confident medical assistant who is able to work as part of a team. Monday to Friday, 12:30pm to 5:30pm. Job Type: Part-time Pay: $18.00 - $20.00 per hou...
  • 21 Days Ago

O
Medical Receptionist
  • Omni Eye Specialist Pa
  • Cherry Hill, NJ FULL_TIME
  • Job description Essential Duties and Responsibilities: Responsible for completing the check-in/ registration process according to guidelines by; accurately entering all pertinent patient information, ...
  • 8 Days Ago

O
Medical Receptionist
  • Omni Eye Specialist Pa
  • Elmwood, NJ FULL_TIME
  • Job description Essential Duties and Responsibilities: Responsible for completing the check-in/ registration process according to guidelines by; accurately entering all pertinent patient information, ...
  • 11 Days Ago

O
Medical Receptionist
  • Omni Eye Specialist Pa
  • Parsippany, NJ TEMPORARY
  • Job description Essential Duties and Responsibilities: Responsible for completing the check-in/ registration process according to guidelines by; accurately entering all pertinent patient information, ...
  • 1 Month Ago

E
Disability Policy Specialist
  • Educational Testing Service (ETS)
  • Princeton, NJ FULL_TIME
  • Job Description: About ETS: For more than 75 years, we have amplified products and services based rigorous research and our belief in the power of learning. Driven by our mission to advance quality an...
  • Just Posted

N
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...
  • 4/25/2024 12:00:00 AM

P
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'...
  • 4/24/2024 12:00:00 AM

S
Medical Specialist 1
  • StateJobsNY
  • Tupper Lake, NY
  • Minimum Qualifications: Open Competitive: Possession of a license and current registration to practice medicine in New Y...
  • 4/23/2024 12:00:00 AM

U
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...
  • 4/22/2024 12:00:00 AM

O
(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...
  • 4/22/2024 12:00:00 AM

W
RN-WMG-Endo Medical Specialist-Days
  • Wellstar Medical Specialists
  • Marietta, GA
  • Summary: Ambulatory/Outpatient refers to medical services performed on an outpatient basis, without admission to a hospi...
  • 4/22/2024 12:00:00 AM

U
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...
  • 4/21/2024 12:00:00 AM

H
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...
  • 4/21/2024 12:00:00 AM

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$98,031 to $119,664

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