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Medical Specialist Jobs (Remote work)

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Quality Assurance Specialist, Medical Communications
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Join our team as a Quality Assurance Specialist in Medical Communications. Utilize your scientific degree and 1-2 years of experience to ensure medical accuracy and consistency across key therapeutic areas. This India-based role requires meticulous attention to detail, strong English skills, and ...
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India
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Not provided
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Parexel
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Until further notice
Medical Billing Specialist
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Join RealTime as a Medical Billing Specialist in Dothan, USA. Utilize your billing experience to process claims, resolve denials, and maximize reimbursement for healthcare providers. We offer competitive pay, generous PTO, 401(k) matching, and full health benefits. Surgical or coding experience i...
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United States , Dothan
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RealTime (AL)
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Until further notice
Medical Appeals/Grievance Specialist II - Registered Nurse
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Seeking a Registered Nurse for a Medical Appeals Specialist II role in Phoenix. Utilize your clinical expertise to resolve member and provider appeals, grievances, and corrected claims. This position requires managed care experience in UM, Prior Auth, or Case Management. Ensure compliance and acc...
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United States , Phoenix
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Blue Cross Blue Shield of Arizona
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Medical Record Retrieval Specialist
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Join our team as a Remote Medical Record Retrieval Specialist. Utilize your HIPAA knowledge and EMR expertise to support risk adjustment and quality initiatives for Medicare Advantage programs. This contract role offers medical benefits and requires strong organizational skills for data retrieval...
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United States , Mountlake Terrace
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Robert Half
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Embark on a rewarding career path by exploring Medical Specialist jobs, a broad and vital category of healthcare professions that form the operational backbone of clinics, hospitals, and private practices. These roles are distinct from clinical providers like doctors and nurses, focusing instead on the critical administrative, financial, and data management functions that ensure a medical facility runs smoothly, efficiently, and in compliance with stringent regulations. Professionals in these positions are essential specialists in their own right, possessing a unique blend of healthcare knowledge and technical or administrative expertise. The day-to-day responsibilities of a Medical Specialist are diverse and crucial to patient care and business operations. Common duties typically revolve around several key areas. Many specialists are responsible for managing the entire lifecycle of patient records, from creation and maintenance to retrieval, all while ensuring absolute accuracy and upholding strict patient confidentiality laws like HIPAA. This involves meticulous data entry into Electronic Health Record (EHR) systems and processing record requests. In the financial realm, other specialists handle medical billing and accounts receivable, which includes submitting claims to insurance companies, coding medical procedures and diagnoses accurately, and following up on past-due accounts to manage the revenue cycle. Front-facing roles often serve as the first point of contact for patients, managing scheduling, greeting individuals, handling patient inquiries, and performing check-in/check-out procedures that may involve processing payments. Across all these functions, general administrative tasks, collaboration with healthcare providers, and maintaining organized systems are standard. To succeed in these Medical Specialist jobs, candidates generally need a specific set of skills and qualifications. A high school diploma is often the minimum requirement, with many positions preferring an associate's or bachelor's degree in health administration, accounting, or a related field. Proven experience in a medical office environment is highly valued. Technical proficiency is non-negotiable; specialists must be adept with specialized software, primarily EHR systems (such as Epic or Cerner), practice management software, and Microsoft Office applications. A strong, working knowledge of medical terminology is fundamental for accurate communication and record-keeping. For billing roles, expertise in medical coding (CPT, ICD-10) and insurance procedures is essential. Beyond technical skills, the ideal candidate possesses superb organizational abilities, an unwavering attention to detail, and excellent interpersonal and communication skills to interact effectively with patients, insurers, and colleagues. Finally, a deep understanding of and commitment to patient privacy laws, particularly HIPAA, is a universal requirement for all Medical Specialist jobs. If you are a detail-oriented professional seeking a stable and impactful career within the healthcare industry, discovering the right Medical Specialist role could be your next career milestone.

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