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 2021 Salary.com)

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Law Enforcement Specialist
  • Motion Recruitment
  • Oakland, CA
  • Innovate, document and implement policies and procedures that scale with the business * Support ... Medical & Dental Insurance * Health Savings Account (HSA) * 401(k) * Paid Sick Time Leave * Pre-tax ...
  • 22 hours ago

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Materials Planning Specialist II
  • Arrow Electronics
  • Englewood, CO
  • Medical, Dental, Vision Insurance * 401k, With Matching Contributions * Paid Time Off * Health ... policy
  • yesterday

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Regulatory Operations Specialist
  • Global Medical Device Manufacturing Company
  • Fremont, CA
  • Fully support the Quality Policy by building quality into all aspects of the incumbent's work and ... Knowledge of FDA Quality System Regulations (21 CFR), EU Medical Device Directives (MDD), and ...
  • 3 days ago

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Helpdesk IT Specialist
  • TCWGlobal (formerly TargetCW)
  • Redwood City, CA
  • Medical/Dental/Vision and weekly pay! Our client, a leader in data analytics, is looking for ... Group Policies, Microsoft Exchange, etc. (Windows 10), (MS O365). * Working knowledge of ...
  • 3 days ago

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Wound & Ostomy Care Specialist MarinHealth Medical Center - Greenbrae, CA
  • Fly.jobs
  • Greenbrae, CA
  • The specialist will provide assessment, development, and implementation of the plan of care ... Possession of current and valid BLS as required by hospital policy * Certification in Wounds and ...
  • 4 days ago

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Contract Implementation Specialist II
  • Cox Automotive
  • Groton, CT
  • Create and maintain relationships with DMV/state agencies and keep current on all state policies ... S. based job. (Reasonable accommodations for medical and religious objections will be considered
  • 4 days ago

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Customer Experience Specialist- Remote Eligible
  • Rumpl
  • Los Angeles, CA
  • Position/Title Customer Experience Specialist Reports To Customer Experience Manager Location ... Flexible vacation policy * Fully covered medical, dental and vision benefits for employees * Annual ...
  • 4 days ago

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Reimbursement Specialist
  • Cala Health
  • San Francisco, CA
  • ... medical documentation to identify medical necessity requirements. ● Investigate patient ... objectives, policies and procedures, Good Manufacturing Practices, and FDA regulations. ● ...
  • 6 days ago

Income Estimation for Medical Policy Specialist jobs
$82,823 to $101,094