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 2022 Salary.com)

T
Fulfillment Specialist
  • Tides Medical
  • Lafayette, LA
  • The Fulfillment Specialist will ensure that customer orders are accurately recorded, packed and ... and Tides Medical stated policies and procedures while upholding Tides Medical's mission and ...
  • 1 hour ago

E
Materials Management Specialist
  • Ellsworth County Medical Center
  • Ellsworth, KS
  • Ellsworth County Medical Center is looking for a full-time Materials Management Specialist to join ... This policy applies to all terms and conditions of employment, including recruiting, hiring ...
  • yesterday

F
Consumer Insights Specialist
  • Flare
  • Scottsdale, AZ
  • Health Care - 99% of Medical, Dental and Vision premiumss paid for employee only coverage * Paid ... This policy applies to all terms and conditions of employment, including recruiting, hiring ...
  • yesterday

K
Senior Construction Documentation Specialist
  • KPG Psomas
  • Seattle, WA
  • A competitive salary, 8 Paid Holidays, and a generous PTO policy! * Employee Stock Ownership Plan ... Benefit package including medical, dental, vision, life, disability, parking & transit support
  • 4 days ago

N
Specialist- Admission & Discharge, West Point Urology, FT, M- F Specialist- Admission & Discharge...
  • North Mississippi Medical Center - Tupelo
  • West Point, CA
  • Adheres to NMHS/NMMC Policies/Procedures/Guidelines * Complies with appropriate Local/State/Federal policies/procedures/guidelines/regulations/laws/statutes Requirements: * High School Diploma or ...
  • 4 days ago

L
Medical Billing Specialist - Seattle, WA
  • LHH
  • Seattle, WA
  • LHH is currently interviewing for a Medical Billing Specialist. This is an on-site, contract to ... Demonstrates complete knowledge, understanding and compliance of company policies and procedures
  • 5 days ago

C
Software Development Specialist I - .NET
  • Concentra
  • Addison, TX
  • Recognize potential areas where policies and procedures require change, or where new ones need to ... Medical/Vision/Prescription/Dental Plans * Life Insurance/Disability * Paid Time Off/Holidays
  • 6 days ago

B
Instrument Sales Specialist
  • BD
  • San Francisco, CA
  • Job Description We are the makers of possible BD is one of the largest global medical technology ... Consistent with BD's Workplace Accommodations Policy, requests for accommodation will be considered ...
  • 6 days ago

P
Policy Services Specialist
  • Policy Processing Systems Technology Corporation
  • Worcester, United States FULL_TIME
  • Covenir is the Property and Casualty insurance industries leading provider of technology enabled business process outsou...
  • Just Posted

S
Medical Assistant needed for Busy Southside Practice
  • Specialist Medical
  • Fayetteville, GA FULL_TIME
  • As a Medical Assistant you will be responsible for providing administrative support to ensure efficient operation of the...
  • 3 Days Ago

P
Policy Services Specialist
  • Policy Processing Systems Technology Corporation
  • Worcester, United States FULL_TIME
  • Covenir is the Property and Casualty insurance industries leading provider of technology enabled business process outsou...
  • Just Posted

S
Medical Assistant needed for Busy Southside Practice
  • Specialist Medical
  • Fayetteville, GA FULL_TIME
  • As a Medical Assistant you will be responsible for providing administrative support to ensure efficient operation of the...
  • 3 Days Ago

T
Medical Policy Specialist
  • TurningPoint Healthcare Solutions, LLC
  • Lake Mary, FL FULL_TIME
  • TurningPoint is an innovative healthcare services and technology organization that is committed to working with Health P...
  • 11 Days Ago

G
Medical Coding Policy Specialist
  • Gainwell Technologies
  • Madison, WI FULL_TIME
  • Job Description: Under general supervision of the Medical Benefits Policy Section Manager— Bureau of Benefits Policy, th...
  • 2 Months Ago

S
Experienced Front Desk Receptionist
  • Specialist Medical
  • Fayetteville, GA FULL_TIME
  • We are looking for an Experienced Front Desk Receptionist to manage our schedule on a daily basis and to perform a varie...
  • 18 Days Ago

M
Medical Assistant
  • Medical Office-Specialist
  • Plano, TX FULL_TIME
  • Full Job DescriptionWe are seeking a full-time Medical Assistant for our cardiology office, in Plano, Texas.This positio...
  • 5 Days Ago

Income Estimation for Medical Policy Specialist jobs
$85,784 to $104,713