Medical Policy Specialist jobs in Ohio

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 Receptionist
  • Eye Specialist
  • Portsmouth, OH FULL_TIME
  • We are looking for a friendly, dependable front desk receptionist for our office. This is a full time position, and we would need someone with open availability. Candidate would be required to travel between our other semi-local offices. This is a very fast paced environment and multi tasking is a must. Job responsibilities include: checking in and greeting patients, collecting copayments and coinsurances, entering insurance and demographic information, scanning testing and documents, preparing charts, confirming appointments, and calling to obtain prior authorizations with insurance companies. Must have open availability, and great attendance.

    Job Type: Full-time

    Pay: From $15.00 per hour

    Benefits:

    • Flexible schedule

    Schedule:

    • Day shift

    Education:

    • High school or equivalent (Preferred)

    Experience:

    • Customer Service: 1 year (Preferred)

    Work Location: In person

  • 4 Days Ago

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Specialist, Medical Training
  • Trugreen - Lawn Specialist - Lima Oh
  • Chickasaw, OH FULL_TIME
  • Start at $17 per Hour - Comprehensive Benefits Start at $17 per hour Average income is $850 - $1,200 per week* - Based on hourly rate and average bonuses earned for qualifying specialists meeting perf...
  • 1 Day Ago

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Policy Support Specialist
  • Westfield Careers
  • Westfield, OH FULL_TIME
  • Job Title:Policy Support Specialist Employee Status: Regular Schedule: Full-time Location: Hybrid - defined as three days in office if residence is within 50 miles of Westfield Center, OH or Remote - ...
  • 1 Day Ago

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Health Services Policy Specialist
  • State of Ohio Jobs
  • Columbus, OH FULL_TIME
  • Primary Location: United States of America-OHIO-Franklin County-Columbus Work Locations: James A Rhodes Office Tower 30 East Broad Street Columbus 43215-3430 Organization: Mental Health & Addiction Se...
  • 6 Days Ago

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Policy Admin Specialist
  • Roundstone
  • Lakewood, OH FULL_TIME
  • Policy Administration Specialist Founded in 2003, Roundstone is not your typical insurance company. We’re on a mission to help employers save on healthcare benefits so they can put those savings towar...
  • 1 Month Ago

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Coordinator - Drug Policy - Pharmacy Admin
  • METROHEALTH MEDICAL CENTER
  • Cleveland, OH FULL_TIME
  • Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 8:00-4:30 The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community h...
  • 3 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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Inventory Medical Specialist - Materials Services OR
  • Hoag Memorial Hospital Presbyterian
  • ** Inventory Medical Specialist - Materials Services OR** Department: Support Services Status: Full Time Shift: 1st **Pr...
  • 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

Ohio /oʊˈhaɪoʊ/ (listen) is a Midwestern state in the Great Lakes region of the United States. Of the fifty states, it is the 34th largest by area, the seventh most populous, and the tenth most densely populated. The state's capital and largest city is Columbus. The state takes its name from the Ohio River, whose name in turn originated from the Seneca word ohiːyo', meaning "good river", "great river" or "large creek". Partitioned from the Northwest Territory, Ohio was the 17th state admitted to the Union on March 1, 1803, and the first under the Northwest Ordinance. Ohio is historically know...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$87,537 to $106,853

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