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 2024 Salary.com)

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Legal Student Assistant
  • Budget and Policy Analyst/Specialist 9-13 - State...
  • Lansing, MI FULL_TIME
  • Salary
    $10.33 - $27.06 Hourly
    Location
    Lansing, MI
    Job Type
    Non Career
    Job Number
    7601-24-IMD-009
    Department
    Environment, Great Lakes and Energy (EGLE)
    Opening Date
    05/31/2024
    Closing Date
    6/14/2024 11:59 PM Eastern
    Bargaining Unit
    NON-EXCLUSIVE REPRESENTED EMPLOYEE (NERE)

    Job Description

    This position is exposed to a variety of areas of law and work across all divisions of the Department of Environment, Great Lakes, and Energy. The position works under the direction of the Legal Specialist in the Information Management Division and assists with various legal issues of the Department. The position assists in managing the litigation holds for the Department. Additionally, the position assists with discovery, subpoena response, Freedom of Information Act (FOIA) requests, and legal research.

    This position requires current enrollment in Law School.

    The selected candidate may be eligible for a hybrid work schedule (combination of remote and in-person) or a fully remote work schedule (with occasional travel to their official work location). Employees approved for schedules that include remote work must complete that work within Michigan. Relocation expenses are not reimbursed. When working remote, employees must use a designated workspace that is safe and professionally appropriate, allows for privacy, minimizes distractions, and includes secure internet access. Details regarding work location and schedule options for this position may be discussed during the interview process.


    Required Education and Experience

    Education
    Current enrollment in high school, vocational or technical school, or post-secondary educational institution.

    Experience
    No specific type or amount is required.

    Additional Requirements and Information

    ABOUT EGLE
    The Department of Environment, Great Lakes, and Energy's mission is to protect Michigan’s environment and public health by managing air, water, land, and energy resources.


    The student must provide evidence of enrollment or acceptance to an educational institution.


    Non-career employees are not eligible for insurance benefits or paid time off, however, they may be able to participate in a deferred compensation plan 401k and/or 457.

  • 2 Days Ago

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General Office Assistant 5-E7 - Elections Operation Division
  • Budget and Policy Analyst/Specialist 9-13 - State...
  • Lansing, MI FULL_TIME
  • Salary $39,145.60 - $55,411.20 Annually Location Lansing, MI Job Type Limited Term (position has expiration date) Job Number 2301-24-BOE029 Department Department of State Opening Date 05/31/2024 Closi...
  • Just Posted

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Medical Receptionist
  • Eye Specialist
  • Portsmouth, OH FULL_TIME
  • We are looking for a friendly, dependable front desk receptionist for our office. This is a full time position, and we would need someone with open availability. Candidate would be required to travel ...
  • 19 Days Ago

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Medical Front Desk Receptionist
  • EYECARE SPECIALIST
  • Stamford, CT FULL_TIME
  • ```Duties:```- Greet and check-in patients in a friendly and professional manner- Schedule appointments and manage the appointment calendar- Answer phone calls and respond to inquiries or direct calls...
  • 26 Days Ago

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Medical Claims Payment Poster
  • MDBilling Specialist
  • Lubbock, TX FULL_TIME
  • Why You'll Love This JobAre you interested in a healthcare job that is in an environment where you can build relationships and make an impact on the patients you serve? If you, bring your exceptional ...
  • 27 Days Ago

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Talent Development Specialist
  • Institute for Youth in Policy
  • Institute, NC FULL_TIME
  • Role DescriptionThe Talent Development Specialist creates, executes and evaluates leadership development and other talent development programs, with a focus on gamifying the corporate learning experie...
  • 5 Days Ago

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Senior Clinic Manager - Family Medicine - Westerville
  • Ohio State University Physicians, Inc.
  • Columbus, OH
  • Overview: Looking to join and lead a dynamic team at Ohio State University Physicians where excellence meets compassion!...
  • 6/11/2024 12:00:00 AM

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Travel Registered Nurse RN Step Down
  • Hiring Now!
  • Columbus, OH
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready ...
  • 6/10/2024 12:00:00 AM

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Audiologist
  • The Ohio State University
  • Columbus, OH
  • Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessiblea...
  • 6/9/2024 12:00:00 AM

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Coordinator (Columbus, OH)
  • Experis
  • Columbus, OH
  • Our client in the Utilities Industry is seeking a Coordinator to join their team. Job Title: Coordinator Location: Colum...
  • 6/9/2024 12:00:00 AM

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QC Technician - 3rd shift - Paint & Coatings
  • AkzoNobel
  • Columbus, OH
  • We've been pioneering a world of possibilities to bring surfaces to life for well over 200 years. As experts in making c...
  • 6/9/2024 12:00:00 AM

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Orient, OH - Medical - ODRC - Pickaway Correctional (PCI) - Dialysis Technician - Region 5
  • Pickaway Correctional Institution
  • Orient, OH
  • Weekly Pay Range - $991 To $1101 Summary: Dialysis technicians are medical specialists trained in the operation of a dia...
  • 6/8/2024 12:00:00 AM

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Customer Service Specialist- Part Time
  • Mid-Ohio Regional Planning Commission
  • Columbus, OH
  • Salary: $21.76 - $23.00 Hourly Location : 111 Liberty St Suite 100 Columbus, OH Job Type: Part-Time Job Number: RES-1-24...
  • 6/8/2024 12:00:00 AM

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Physical Therapy Director
  • Concentra
  • Columbus, OH
  • Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care ...
  • 6/7/2024 12:00:00 AM

Income Estimation for Medical Policy Specialist jobs
$89,862 to $109,685