Medical Policy Specialist Salary in the United States
How much does a Medical Policy Specialist make in the United States? The average Medical Policy Specialist salary in the United States is $82,127 as of June 27, 2019, but the range typically falls between $74,912 and $88,444. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target. View the Cost of Living in Major Cities
Job Description
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 2019 Salary.com)
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Medical Policy Specialist Pay Difference by Location
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| City, State San Francisco, CA |
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| City, State Washington, DC |
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| City, State Miami, FL |
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| City, State Chicago, IL |
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| City, State Boston, MA |
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| City, State New York, NY |
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| City, State Dallas, TX |
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| Job Title | Experience | EDUCATION | Salary Compared to This Job |
|---|---|---|---|
| Job Title Drug Safety/Medical Information Specialist I | Experience 0 - 2 | EducationBachelors | Salary Compared to This Job |
| Job Title Drug Safety/Medical Information Specialist II | Experience 2 - 4 | EducationBachelors | Salary Compared to This Job |
| Job Title Drug Safety/Medical Information Specialist III | Experience 4 - 7 | EducationBachelors | Salary Compared to This Job |
| Job Title Drug Safety/Medical Information Specialist IV | Experience 7 + | EducationBachelors | Salary Compared to This Job |
| Job Title Medical Billing Specialist | Experience 1 - 3 | EducationHigh School | Salary Compared to This Job |