Medical Policy Specialist jobs in Minnesota

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)

K
Medical Assistant
  • Kidney Specialist of Minnesota
  • Brooklyn, MN FULL_TIME
  • Kidney Specialists of Minnesota (KSM) has been providing high-quality care to patients with CKD, diabetic kidney disease, and ESRD since 1978. We are looking to hire Full-Time Medical Assistants to help support our providers in clinic. KSM is an independent nephrology practice with 23 physicians and 7 advanced practice providers that deliver quality, patient-centered care in hospitals, dialysis units, and CKD clinic. KSM offers competitive benefits, and promotes work/life balance with no nights or weekends. 


    JOB PURPOSE


    • Possess an in-depth knowledge of KSM clinic procedures and protocols, along with knowledge of patient care procedures, lab procedures, electronic medical record documentation, medical terminology, and sanitation practices.
    • Provide safe, patient-centered care


    PATIENT CARE:


    • Complete rooming and discharge procedures per company protocols
    • Obtain and record vital signs, medical histories and other patient forms
    • Complete accurate medication reconciliation
    • Ensure patient completes labs per policy
    • Collaborate with IOP on completion of same day lab orders
    • Arrange for off-site procedures as ordered by the KSM provider
    • Schedule patients for follow up appointments and/or lab appointments
    • Provide education materials to patients as instructed by the KSM provider
    • Review AVS (after visit summary) with patient


    MANAGE PATIENT MEDICAL RECORDS


    • Accurately document all information as required by company, state, and federal guidelines
    • Maintain patient confidentiality
    • Accurately database lab results into appropriate electronic medical record
    • Complete chart prep procedures to ensure patient visits are completed accurately, safely, and efficiently
    • Prepare and process lab order forms


    CLINIC OPERATIONS:


    • Clean and stock exam rooms daily
    • Report any supply shortage to the Clinical Supervisor
    • Proactively identify safety concerns, submit incident reports, and/or discuss with the Clinical Supervisor


    GENERAL RESPONSIBILITIES:

    • Perform other duties as assigned and proactively identifies other tasks needing to be addressed/completed
    • Demonstrate professional behavior in interactions with coworkers and patients
    • Float to all clinics, including outreach locations, as needed
    • Train other clinical staff on job duties, policies, or procedure as needed
    • Participate in weekly huddles


    SKILLS/QUALIFICATIONS:


    • Ability and means to travel to all clinics, including outreach locations, as needed. Mileage reimbursement available.
    • High school diploma
    • Flexible
    • Reliable
    • MA experience preferred
    • MA certification preferred
    • Epic experience preferred
  • 9 Days Ago

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Medical Receptionist - Float
  • Kidney Specialist of Minnesota
  • Minneapolis, MN FULL_TIME
  • MEDICAL RECEPTIONIST Kidney Specialists of Minnesota has been providing high-quality care to patients with chronic kidney disease, diabetic kidney disease, and ESRD since 1978. We are looking for a Fl...
  • 8 Days Ago

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Medical Receptionist - Float
  • Kidney Specialist of Minnesota
  • Varies, MN FULL_TIME
  • MEDICAL RECEPTIONIST Kidney Specialists of Minnesota has been providing high-quality care to patients with chronic kidney disease, diabetic kidney disease, and ESRD since 1978. We are looking for a Fl...
  • 9 Days Ago

F
Policy Processing Specialist
  • Federated Mutual Insurance Company
  • Owatonna, MN OTHER
  • Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients’ success. For our employees, we provide tremendous opportunities for growth. Over 95% of them belie...
  • 19 Days Ago

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Policy Processing Specialist
  • Federated Mutual Insurance Company
  • Mankato, MN OTHER
  • Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients’ success. For our employees, we provide tremendous opportunities for growth. Over 95% of them belie...
  • 21 Days Ago

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Policy Services Specialist
  • Gradient Insurance Brokerage, LLC
  • Arden, MN FULL_TIME
  • Gradient Financial Group, LLC is a leading nationwide financial services company consisting of eleven entities. We are seeking a motivated Policy Services Specialist to join our Gradient Insurance Bro...
  • 9 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

Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North). Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$91,467 to $111,650

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