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)
ZB Rx Medical currently has a full-time opening for an Operations Specialist II in Tulsa, Oklahoma. Candidate will have experience and be responsible for optimizing the flow of inventory for the company. We take pride in our work and believe in cultivating a work environment that supports and values our greatest asset: our talented employees.
Responsibilities include, but are not limited to:
Requirements include:
This position offers a full range of benefits including Paid-Time Off (PTO), Medical, Dental, Vision, Life insurance, Short and Long-Term Disability, 401k with 100% vesting.
We are proud to be an equal opportunity workplace and an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.'