Medical Policy Specialist jobs in Arizona

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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Medical Assistant
  • Integrity Pulmonary Specialist LLC
  • Phoenix, AZ FULL_TIME
  • Description:

    Visit us online Integrity Pulmonary |

    Job Type

    Full-time

    Phoenix, AZ


    Description

    Overview

    We welcome warm, experienced, independent, forward-out of the box thinking and reliable medical professionals. Our goal is to provide care of integrity with competence, warmth, and professional patient centered care, with positive staff and referent interactions and experiences daily.

    Responsibilities

    The Advanced Medical Assistant serves as the leader in the practice and performs all duties as an MA but leads the practice and sets an example to follow by other Medical Assistant. The Advanced MA coordinates both direct and indirect patient care job functions in the clinic. It is important that you have a strong work history of independently working in the front and back office successfully and leading from the front. Responsibilities include both front and back-office duties.

    Front Office:

    Back Office:

    • Room patients
    • perform and chart spirometry.
    • Prepare treatment room and sanitize after each patient visit.
    • Obtain and chart vitals.
    • Assist providers with procedures as needed.
    • Perform spirometry, pulse oximetry and other medical services appropriate to medical assistant duties.
    • Administer office medications.
    • Triage
    • Stock & maintain sanitized exam rooms.
    • Communicate test results to providers.

    Requirements:


    Requirements

    • Receptionist, answer phones and patient registration
    • Spirometry
    • Experience understanding the importance in attention to billing details highly desired as it relates to billing procedures, and charge posting.
    • Maintaining appointment and clinic schedules
    • Scheduling surgeries/procedures
    • Obtaining appropriate insurance verification, authorizations, and referrals
    • Providing appropriate patient instructions per provider orders.
    • Warm calls to patients, confirming patient appointment.
    • Electronically enter blood & specimen orders through lab interface using EHR (Kareo)
    • Maintaining faxes and lab orders
    • Collect copays

    Requirements

    Completion of an MA training program and certification (Required)Bilingual, English/Spanish (Required)Basic Life Support (BLS Required) Fingerprint Clearance Card - Must have a current fingerprint clearance card or have the ability to obtain within 1-2 weeks of being offered the position EMR systems: 3 years (Preferred)Vital signs: 3 years (Preferred)Front/Back Office: 3 years (Preferred)

  • 7 Days Ago

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Advanced Medical Assistant
  • Integrity Pulmonary Specialist LLC
  • Phoenix, AZ FULL_TIME
  • DescriptionAdvanced Medical AssistantVisit us online Integrity Pulmonary | Job TypeFull-timePhoenix, AZDescriptionOverviewWe welcome warm, experienced, independent, forward-out of the box thinking and...
  • 19 Days Ago

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Policy Services Specialist I
  • Johnson & Johnson Inc
  • Phoenix, AZ FULL_TIME
  • Description Position Overview: The Policy Services Specialist position will assist with the daily workflows for incoming bind requests, endorsements, cancellations, reinstatements, new or renewal issu...
  • 1 Month Ago

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Information Technology Specialist (Policy and Planning)
  • U.S. Army Cyber Command
  • Fort Huachuca, AZ FULL_TIME
  • Duties Serve as an Information Technology (IT) Specialist within the Network Enterprise Center (NEC) Service Management Division, responsible for a wide range of IT projects, policy and planning activ...
  • Just Posted

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Program and Policy Specialist/Investigator VI (Job 2736)
  • Arizona Supreme Court
  • Arizona, AZ FULL_TIME
  • JOB TITLE: Program and Policy Specialist/Investigator VI JOB #: 2736 DIVISION: Certification & Licensing HIRING SALARY: $63,591.00 annualized CLOSING DATE: All positions are open until filled. EMPLOYE...
  • 22 Days Ago

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Program and Policy Specialist/Investigator VI (Job 2736)
  • Arizona Supreme Court
  • Phoenix, AZ FULL_TIME
  • JOB TITLE: Program and Policy Specialist/Investigator VI JOB #: 2736 DIVISION: Certification & Licensing HIRING SALARY: $63,591.00 annualized CLOSING DATE: All positions are open until filled. EMPLOYE...
  • 24 Days Ago

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Ambulatory Medication Specialist
  • Children's National Medical Center
  • Washington, DC
  • Under the direct supervision of a registered pharmacist and under the leadership the Pharmacy Management staff, the Ambu...
  • 3/28/2024 12:00:00 AM

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Medical Specialist 2
  • New York State Civil Service
  • Thiells, NY
  • Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, ...
  • 3/28/2024 12:00:00 AM

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Medical Specialist - Pulmonology - Gary, IN
  • Regeneron Pharmaceuticals
  • Indianapolis, IN
  • The Medical Specialist (Sales Representative), Pulmonology (MS) will be responsible for engaging Pulmonologists and othe...
  • 3/28/2024 12:00:00 AM

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(Physician) Medical Specialist 2
  • Office for People with Developmental Disabilities
  • Thiells, NY
  • Job Description Job Description EMPLOYMENT OPPORTUNITY ANNOUNCEMENT EOA #: 23-061RR EOA DATE: March 15, 2024 REPLY BY: S...
  • 3/27/2024 12:00:00 AM

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Medical Assistant/ Medication Specialist
  • Nidraveda PA
  • San Antonio, TX
  • Job Description Job Description We are looking for someone with a professional attitude, a dedication to healthcare, and...
  • 3/27/2024 12:00:00 AM

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Medication Specialist
  • Behavorial Health Network, Inc
  • Boston, MA
  • Use your knowledge of addiction recovery and medication management with BHN! Join our team of competent and compassionat...
  • 3/26/2024 12:00:00 AM

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Medical Assistant, Medical Specialists
  • UP Health System - Marquette
  • Marquette, MI
  • UP Health System - Marquette Medical Assistant, Medical Specialists, 1.0DV Who We Are: People are our passion and purpos...
  • 3/26/2024 12:00:00 AM

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Medical Specialist 2
  • StateJobsNY
  • Queens Village, NY
  • MMINIMUM QUALIFICATIONS: Possession of a license to practice medicine in New York State (see limited permit option below...
  • 3/25/2024 12:00:00 AM

Arizona (/ˌærɪˈzoʊnə/ (listen); Navajo: Hoozdo Hahoodzo Navajo pronunciation: [xòːztò xɑ̀xòːtsò]; O'odham: Alĭ ṣonak Uto-Aztecan pronunciation: [ˡaɺi ˡʂonak]) is a state in the southwestern region of the United States. It is also part of the Western and the Mountain states. It is the sixth largest and the 14th most populous of the 50 states. Its capital and largest city is Phoenix. Arizona shares the Four Corners region with Utah, Colorado, and New Mexico; its other neighboring states are Nevada and California to the west and the Mexican states of Sonora and Baja California to the south and so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$87,415 to $106,704

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