Medical Policy Specialist jobs in Lebanon, PA

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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Site Inspector
  • Computer Evidence Specialist, LLC
  • Shamokin, PA PART_TIME
  • Job Description Summary:

    Site Inspectors will visit provider locations in the Commonwealth of Pennsylvania to collect data used to establish a company’s compliance with federal regulations. This work is conducted on a part-time, case-volume basis with flexibility relevant to the individual’s schedule. (This is a great opportunity for anyone looking for supplemental income or part time work with flexibility.) Site Inspectors collect information on medical providers and suppliers to determine if the business is operational, meaning the provider has a location and is open to the public for the purpose of providing healthcare related services at the address given.

    Duties/Responsibilities:

    · Identify and verify site per address provided

    · Take 2 to 4 pictures from a smartphone with geolocation app (app to be identified by CES)

    · Complete short questionnaire regarding the site based on what is identified to be at the address provided

    · Basic Site Visit: takes from 5 to 15 minutes depending on the ease of accessing the location and does not require contact with personnel at the location.

    Required qualifications/skills:

    · High School Diploma or equivalent

    · Reliable transportation

    · Attention to detail

    · Strong communication skills

    · Strict adherence to deadlines and privacy

    Office Equipment:

    · Smartphone (with ability to download an identified geo-location app)

    · Personal computer with high-speed internet access

    · Reliable transportation and a valid Driver’s License

    Other:

    · Personnel applying for the positions must pass a background check and complete an online training program prior to being assigned to inspections

    Job Type: Part-time

    Pay: $20.93 - $25.20 per hour

    Work Location: On the road

  • 7 Days Ago

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Medical Records Specialist
  • Geisinger
  • Danville, PA FULL_TIME
  • Answer phones, assist callers, and relay messages as necessary.Merge/Update unidentified patients within 24 hours for the system.Provides 24/7 coverage for Telemedicine linking of the Medical Record a...
  • 26 Days Ago

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Air Medical Communications Specialist
  • Geisinger
  • Danville, PA FULL_TIME
  • Receives all incoming requests for assistance from requesting entities.Coordinates the closest, safest, and most appropriate asset for transport, while following all appropriate guidelines and protoco...
  • 27 Days Ago

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Medical Records Specialist
  • WellSpan Health Services
  • Lebanon, PA FULL_TIME
  • Schedule Full-time: 40hrs/week Hours: 1pm - 9pm with weekend and holiday rotation General Summary Collects, analyzes and processes patient medical information to ensure the completeness and accuracy o...
  • 7 Days Ago

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Release of Medical Information Specialist
  • Geisinger
  • Danville, PA FULL_TIME
  • Processes requests for information from patient health record.Validate compliance with a properly executed authorization or request with Pennsylvania State and Federal Privacy Regulations to determine...
  • 10 Days Ago

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Child Life Specialist - Child Life
  • Penn State Milton S. Hershey Medical Center
  • Hershey, PA FULL_TIME
  • Penn State Health Milton S. Hershey Medical Center Location : US:PA:Hershey Work Type : Full Time FTE : 0.90 Shift : Day Hours : Varied Hours SUMMARY OF POSITION: Responsible for assessing , developin...
  • 27 Days Ago

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0 Medical Policy Specialist jobs found in Lebanon, PA area

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Pharmacy Lead Technician
  • CVS Health
  • Lebanon, PA
  • Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to ever...
  • 5/1/2024 12:00:00 AM

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Travel Nurse RN - Rehabilitation - $1,304 per week
  • Hiring Now!
  • Lebanon, PA
  • ARMStaffing is seeking a travel nurse RN Rehabilitation for a travel nursing job in Lebanon, Pennsylvania. Job Descripti...
  • 5/1/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $2,046 per week
  • Hiring Now!
  • Lebanon, PA
  • LeaderStat is seeking a travel nurse RN Med Surg for a travel nursing job in Lebanon, Pennsylvania. Job Description & Re...
  • 5/1/2024 12:00:00 AM

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Pharmacist (Staff)
  • Rite Aid
  • Lebanon, PA
  • Pharmacist Job Responsibilities Summary The primary purpose of this position is to assist customers with their health ca...
  • 5/1/2024 12:00:00 AM

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Travel LPN / LVN - $1,232 per week
  • Care Team Solutions
  • Lebanon, PA
  • Care Team Solutions is seeking a LPN / LVN for a travel job in Lebanon, Pennsylvania. Job Description & Requirements Spe...
  • 5/1/2024 12:00:00 AM

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Travel LPN / LVN - $1,250 per week
  • Leaderstat - Post Acute
  • Lebanon, PA
  • Leaderstat - Post Acute is seeking a LPN / LVN for a travel job in Lebanon, Pennsylvania. Job Description & Requirements...
  • 5/1/2024 12:00:00 AM

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FT Data Entry Specialist - Work From Home>
  • Sharecare
  • Lebanon, PA
  • [Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay - As a Data Entry Specialist you'll: Access var...
  • 4/30/2024 12:00:00 AM

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Biomedical Equipment Support Specialist
  • U.S. Food and Drug Administration
  • Lebanon, PA
  • ** Biomedical Equipment Support Specialist** **Department of Veterans Affairs** ** Lebanon VA Medical Center** **Summary...
  • 4/27/2024 12:00:00 AM

Lebanon (/ˈlɛbənən/) is a city in and the county seat of Lebanon County, Pennsylvania, United States. The population was 25,477 at the 2010 census, a 4.2% increase from the 2000 count of 24,461. Lebanon is located in the central part of the Lebanon Valley, 26 miles (42 km) east of Harrisburg and 29 miles (47 km) west of Reading. Lebanon was founded by George Steitz in 1740 and was originally named Steitztown. According to the United States Census Bureau, the city has a total area of 4.2 square miles (11 km2), all of it land. Lebanon is bordered to the north and east by North Lebanon Township (...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$87,057 to $106,262
Lebanon, Pennsylvania area prices
were up 1.5% from a year ago

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