Medical Policy Specialist jobs in Reno, NV
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
Medical Office Specialist
- Northern Nevada Medical Group
-
Reno, NV
FULL_TIME
-
Responsibilities:ABOUT NORTHERN NEVADA MEDICAL GROUP
Northern Nevada Medical Group, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. Our providers offer wellness services, family, geriatric and internal medicine, along with specialty care including cardiology, general surgery, podiatry and pulmonary medicine. We have locations across the Truckee Meadows in addition to the rural communities of Fallon, Nevada and Bishop, California.
Website:https://www.nnmg.com
Medical Office Specialist ensures prooper functioning of the front office by:- Answering multi-phone lines and making copies of documents as necessary.
- Accurately files patient charts; including scanning documents into files as necessary.
- Schedules patient appointments as necessary, return visits and Specialists.
- Pre-authorize prescriptions and clinical tests (CT, MRI, Ultrasound, etc.) as necessary.
- Other duties as assigned
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
As a Northern Nevada Medical Group employee you will be part of a first class organization offering:
- A Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match
About Universal Health Services (UHS), Inc.One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.www.uhs.comQualifications:Required Knowledge, Skills, Licensure, Training & Travel Requirements (if applicable):- High School graduate or equivalentFront office healthBasic computer knowledge.
- Knowledge of medical clinic functions (scheduling, billing, insurance verifications and authorizations, ICD9 and CPT4 coding, patient procedures, medical records, etc.)
Medical terminology and basic mathematical calculations. - Health care experience preferred
EEO StatementAll UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.We believe that diversity and inclusion among our teammates is critical to our success.
NoticeAt UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.Salary: Starting from $18.00 to $19.54 an hour - 1 Month Ago
Medical Office Specialist
- Northern Nevada Medical Group
-
Fallon, NV
FULL_TIME
- Responsibilities: ABOUT NORTHERN NEVADA MEDICAL GROUP Northern Nevada Medical Group, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. O...
- 1 Month Ago
Referral Specialist
- Northern Nevada Medical Group
-
Sparks, NV
FULL_TIME
- Responsibilities: ABOUT NORTHERN NEVADA MEDICAL GOUP Northern Nevada Medical Group, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. Ou...
- 27 Days Ago
Spine Specialist
- Globus Medical, Inc.
-
Reno, NV
FULL_TIME
- About Us: At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of th...
- 1 Month Ago
Medical Equipment Delivery Specialist
- Valley Oxygen LLC
-
Reno, NV
FULL_TIME
- Are you an experienced customer service specialist or delivery driver looking to move into the next steps of your career?Does a 4-day workweek appeal to you?Here at Synergy, we have a four-day workwee...
- Just Posted
Clinical Specialist - Medical Device
- Accordance Search Group
-
Reno, NV
FULL_TIME
- Summary:The Clinical Specialist covers cases and provides training to the surgical team on safe and effective uses of the device. Responsibilities:Provide clinical case coverage as assignedSupport sal...
- 3 Days Ago
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0 Medical Policy Specialist jobs found in Reno, NV area
Orthopedic Surgeon - Rural Nevada
- Reno Orthopedic Center
-
Reno, NV
- We are physician-owned and committed to providing excellent orthopedic care. We've recently completed construction of th...
- 4/30/2024 12:00:00 AM
Orthopedic Surgeon - Hand and Upper Extremity
- Reno Orthopedic Center
-
Reno, NV
- We are physician-owned and committed to providing excellent orthopedic care. We've recently completed construction of th...
- 4/30/2024 12:00:00 AM
Benefits Specialist
- Greater Nevada Credit Union
-
Reno, NV
- Greater Nevada Credit Union is looking for a dedicated team player with a passion for Helping More People Live Greater! ...
- 4/30/2024 12:00:00 AM
Research Assistant
- Actalent
-
Reno, NV
- Description: The Research Assistant (RA) position delivers a strong customer experience for both sites and patients by p...
- 4/29/2024 12:00:00 AM
Regulatory Compliance Officer
- Evolve
-
Reno, NV
- Job Title: Regulatory Compliance Officer Department: Electrical Engineering Reports to: Director of Electrical Engineeri...
- 4/29/2024 12:00:00 AM
Program Specialist - Customer Service
- Ultimate Staffing
-
Reno, NV
- Program Specialist - Customer Service Location: Reno, NV 89521 Pay: $20.00/hr, Bilingual Spanish $20.50/hr Training Sche...
- 4/28/2024 12:00:00 AM
Benefits Specialist
- Greater Nevada Credit Union
-
Reno, NV
- Greater Nevada Credit Union is looking for a dedicated team player with a passion for Helping More People Live Greater! ...
- 4/27/2024 12:00:00 AM
Office Coordinator
- Tvh
-
Reno, NV
- Office Coordinator Full-time | Logistics | Location Reno, NV, 89506 As a key team member, you will play a pivotal role i...
- 4/26/2024 12:00:00 AM
About Reno, Nevada
Reno (/ˈriːnoʊ/ REE-noh) is a city in the U.S. state of Nevada, located in the northwestern part of the state, approximately 22 miles (35 km) from Lake Tahoe. Known as "The Biggest Little City in the World", Reno is known for its casino industry. It is the county seat of Washoe County. The city sits in a high desert at the foot of the Sierra Nevada and its downtown area (along with Sparks) occupies a valley informally known as the Truckee Meadows. The city is named after Union Major General Jesse L. Reno, who was killed in action at the Battle of South Mountain on Fox's Gap.
Reno, with an esti...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$90,105 to $109,983
Reno, Nevada area prices
were up 2.5% from a year ago
were up 2.5% 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