Medical Policy Specialist jobs in the United States

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 2020

OR Specialist RN
  • Baylor, Scott & White Health
  • Plano, TX
  • ... policies and procedures governing the provision of nursing care applicable to the area of ... Knowledge of medical terminology; principles and practices of health promotion, risk reduction ...
  • 12 hours ago

Registered Respiratory Therapist Vascular Access Specialist
  • Banner Health
  • Sun City, AZ
  • As a Respiratory Therapist Vascular Access Specialist at Banner Boswell Medical Center you will ... Assists in the development of departmental policies and procedures based on best practice.
  • yesterday

Transport_Distribution Specialist
  • Renown Health
  • Reno, NV
  • Under the supervision of the Distribution Manager, the Distribution /Transportation Specialist is ... policies, laws and regulations associated with the operation or transportation of medical supplies ...
  • yesterday

Travel Medical Lab Tech - $1,625 per week
  • Club Staffing
  • Roosevelt, UT
  • Follows laboratory policies and procedures; maintains quality control practices in the Laboratory ... specialists. Through American Mobile, our travel nursing partner, we also specialize in placing ...
  • yesterday

Medical Billing Specialist
  • Livingston Med Lab
  • San Antonio, TX
  • Local Lab seeking an exceptional Medical Billing Specialist that has previous laboratory billing ... Ensures compliance with federal, state, and local regulations and billing and collections policies ...
  • yesterday

Clinical Sales Specialist
  • Itamar Medical
  • San Francisco, CA
  • ... Itamar Medical products and services, along with the Regional Sales Managers. The position is ... Familiarity with clinical reimbursement, and managed care policies and procedures is highly ...
  • 2 days ago

Account Specialist - Construction Insurance
  • Aon
  • San Francisco, CA
  • Works with Account Executive to identify qualified Occupational Medical Clinics, meeting with ... Provides AE Leader with marketing data prior to submission, reviews policies and provides comments ...
  • 4 days ago

Medical Record Technician (Clinical Documentation Improvement Specialist-CDIS Outpatient)
  • Department of Veterans Affairs
  • Portland, OR
  • ... services as a Medical Records Technician (Clinical Documentation Improvement Specialist-CDIS ... Monitors ever-changing regulatory and policy requirements affecting coded information for the full ...
  • 6 days ago

Income Estimation for Medical Policy Specialist jobs
$81,059 to $98,944