Medical Policy Specialist jobs in Dubuque, IA
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)
Recently Added Medical Policy Specialist jobs
Neurology Clinic - Clinic Services Specialist
- Clinic Services Specialist - Jobs@UIOWA Careers
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Iowa, IA
FULL_TIME
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The University of Iowa Hospitals and Clinics department of Neurology is seeking a Clinical Services Specialist to provide daily administrative, clinical, and operational support to the Neurology Ambulatory Clinic, as well as secondary support to other clinics within the Neurology Department as needed.The Clinic Services Specialist acts as a resource on patient/clinical workflow: such as informatics (EHR), patient appointment systems, care coordination, billing/compliance, and management of medical information for a clinic team.Job Duties to Include:
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Provide daily administrative, clinical, and operational support to the Department of Neurology
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Coordinate clinical visits and procedures in a multidisciplinary environment.
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Communicate with patients and external entities and manage the pre-visit activities by triaging patient inquiries.
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Provide support to the clinical teams of these divisions on inpatient clinic days, including managing patient and faculty/staff schedules.
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Conduct post visit activities. Follow up with referring providers and patients for the completion of medical forms and questionnaires.
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Provide operational support to clinical teams of faculty and staff to assure division clinics are patient centric and flow without interruptions
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Prepare and administer correspondence to patients about clinic visits and related clinical research.
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Serve as the point of contact for all patients, faculty, and staff in the Neurology Clinics and communicate their needs to the clinical team.
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Communicate with other clinical sites both internally and externally.
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Manage communications between clinical teams and the various research programs. Respond to request for information.
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Gather medical information from patients and provide information using available resources.
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Make decisions and exercise a high level of autonomy while performing responsibilities.
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Develop and/or enhance the pre-visit, visit, and post-visit processes.
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Manage correspondence.
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Access the needs of the patients and interpret how the clinic team can serve them efficiently and effectively to enhance the patient experience.
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May provide functional and administrative supervision to undergraduate student assistants.
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Coordinate inpatient schedule for Neurology Clinic
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Other duties as assigned
Percent of Time: 100%Schedule: Monday-Friday, no weekends or holidays.Pay Grade: 3A - https://hr.uiowa.edu/pay/guide-pay-plansSupervision: Supervision is received by the Clinical Services Coordinator and the Medical Director(s) of the Neurology Department.The University of Iowa Hospitals & Clinics—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives. ®REQUIRED QUALIFICATIONS- Bachelor's degree or an equivalent combination of education and experience.
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Minimum 1-year experience working in a customer service field.
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Experience in writing/developing correspondence with internal and external entities (e.g., patients, customers, vendors, etc.)
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Previous experience which demonstrates proficiency in computer software applications (e.g., Microsoft Word, Excel, Outlook, etc.).
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Demonstrated experience working independently with the ability to prioritize tasks in a fast-paced setting.
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Excellent written and verbal communication skills.
DESIRED QUALIFICATIONS- Previous experience with EPIC/EHR.
- Experience working in a medical/clinical setting.
- Knowledge of clinical scheduling and coordination of patient activities.
- Knowledge of University of Iowa policies and procedures
- Knowledge of billing/compliances.
Please attach a resume and cover letter as part of the application process. Job openings are posted for a minimum of 14 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended.Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.Up to 5 professional references will be requested at a later step in the recruitment process. For additional questions, please contact Erin Curry at 319-356-7355 or erin-curry@uiowa.edu.Additional InformationCompensationContact Information -
- 11 Days Ago
EAP Specialist - Mercy Family Counseling - Mercy Medical Center - Cedar Rapids
- Mercy Medical Center - Cedar Rapids
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Hiawatha, IA
FULL_TIME
- Summary This position supports Mercy's philosophy of patient centered care by providing individual, family, and relationship counseling and therapy to clients served by Family Counseling, EAP, and Sed...
- 11 Days Ago
Medical Insurance Billing Specialist
- Hillcrest Family Services
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Dubuque, IA
FULL_TIME
- Your Responsibilities The Medical Insurance Billing Specialist, under the general supervision of the Billing Manager, will be responsible for performing all billing and follow-up functions, including ...
- 25 Days Ago
Medical Data Entry Specialist
- Hines & Associates Inc
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Dubuque, IA
FULL_TIME
- DescriptionComputer focused - Administrative Assistant for Healthcare Company.Hines & Associates, Inc. a national managed healthcare organization is offering a Full Time Medical Data Entry/Administrat...
- Just Posted
Medical Specialist- Direct Care
- To The Rescue
-
Rapids, IA
PART_TIME,FULL_TIME
- Medical Specialist **$2500.00 Sign-On Bonus**At To The Rescue, our purpose is to improve the quality of lives through personalized and skilled services, specifically designed for each individual or or...
- 26 Days Ago
68K Medical Laboratory Specialist
- Army National Guard
-
Washington, IA
FULL_TIME
- The ASVAB isn’t the only test that matters in the military. A Soldier’s tissue, blood, and body fluids also need to be tested to detect and identify diseases. As a Medical Laboratory Specialist in the...
- 19 Days Ago
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0 Medical Policy Specialist jobs found in Dubuque, IA area
Physical Therapy Assistant - Travel Contract - New Grads Welcome
- Jackson Therapy Partners
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Dubuque, IA
- Jackson is currently seeking a PTA for a contract position at an area facility where they'll provide expert therapy to p...
- 4/30/2024 12:00:00 AM
Travel Nurse RN - Cardiac Cath Lab - $2,066 per week
- Hiring Now!
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Dubuque, IA
- RNnetwork is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Dubuque, Iowa. Job Description & Req...
- 4/29/2024 12:00:00 AM
TRAVEL NURSE RN - MED/SURG - $1,685 TO $1,872 PER WEEK IN DUBUQUE, IA
- Gifted Healthcare
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Dubuque, IA
- Registered Nurse (RN) 03/25/2024 to 06/23/2024 $1,685 - $1,872/week Travel Night Shift 13 weeks at 36/week The GIFTED He...
- 4/29/2024 12:00:00 AM
TRAVEL NURSE RN - CATH LAB IN DUBUQUE, IA
- OneStaff Medical
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Dubuque, IA
- Cardiac catheterization is the insertion of a catheter into a chamber or vessel of the heart. It can be used as a way to...
- 4/29/2024 12:00:00 AM
Cardiac Cath Lab - Cath Lab / Interventional Technologist
- Trusted Health Careers
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Dubuque, IA
- Trusted is seeking an experienced allied health professional for this exciting travel assignment. Trusted has streamline...
- 4/29/2024 12:00:00 AM
LPN/CMA-Cardiology Clinic
- Unitypoint Health
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Dubuque, IA
- Overview:Under the direction of a health care provider, Clinical Nurse LPN or CMA, is responsible for the delivery of pa...
- 4/29/2024 12:00:00 AM
Travel Nurse RN - Med Surg - $1,855 per week
- Hiring Now!
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Dubuque, IA
- RNnetwork is seeking a travel nurse RN Med Surg for a travel nursing job in Dubuque, Iowa. Job Description & Requirement...
- 4/29/2024 12:00:00 AM
Travel Nurse RN - Med Surg - $1,901 per week
- Hiring Now!
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Dubuque, IA
- Premier Medical Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Dubuque, Iowa. Job Descriptio...
- 4/29/2024 12:00:00 AM
About Dubuque, Iowa
Dubuque /dəˈbjuːk/ (listen) is the county seat of Dubuque County, Iowa, United States, located along the Mississippi River. In 2017, the population of Dubuque was 57,637.
This city lies at the junction of Iowa, Illinois, and Wisconsin, a region locally known as the Tri-State Area. It serves as the main commercial, industrial, educational, and cultural center for the area. Geographically, it is part of the Driftless Area, a portion of North America that escaped all three phases of the Wisconsinian Glaciation.
It is one of the few cities in Iowa with bluffs, and a tourist destination featuring ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$84,636 to $103,307
Dubuque, Iowa area prices
were up 0.8% from a year ago
were up 0.8% from a year ago
What does a Medical Policy Specialist do?
Medical Policy Specialist in Norfolk, VA
Guideline 9 – specialist medical procedures provides that applications for the separate representation of children with an intellectual impairment in relation to applications for special medical procedures are not subject to the means test or merits test.
February 20, 2020