Medical Policy Specialist jobs in Cedar Falls, IA

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)

Y
Medical Billing Specialist
  • YourTIME Medical
  • Falls, IA PART_TIME
  • Job Summary: We are seeking a skilled and detail-oriented Medical Biller to join our team. As a Medical Biller, you will be responsible for accurately coding and billing medical procedures and services, ensuring timely reimbursement from insurance companies and patients. Your role will contribute to the financial success of our medical practice by maintaining accurate records and efficiently managing the billing process. Responsibilities: - Review and verify medical records, ensuring accuracy and completeness - Assign appropriate medical codes (ICD-10, DRG) to diagnoses, procedures, and services - Prepare and submit claims to insurance companies electronically or by mail - Follow up on unpaid claims and denials, identifying and resolving any issues - Communicate with insurance companies to resolve billing discrepancies or obtain additional information - Coordinate with medical office staff to ensure accurate patient information for billing purposes - Process payments from insurance companies and patients, applying them to appropriate accounts - Maintain confidentiality of patient information in compliance with HIPAA regulations - Stay updated on industry changes and regulations related to medical billing Experience: - Proven experience as a Medical Biller or in a similar role - Strong knowledge of medical terminology, ICD-10 coding, and medical billing procedures - Familiarity with medical records systems and electronic health records (EHR) - Proficient in using billing software and tools - Excellent attention to detail and accuracy in coding and billing processes - Strong organizational skills with the ability to prioritize tasks effectively - Effective communication skills for interacting with patients, insurance companies, and healthcare providers We offer competitive compensation based on experience. If you are a dedicated professional with a strong background in medical billing, we would love to hear from you. Apply now to join our team!

    Job Type: Part-time

    Pay: $18.24 - $19.13 per hour

    Expected hours: 15 – 30 per week

    Benefits:

    • Employee discount
    • Flexible schedule
    • Professional development assistance

    Schedule:

    • Choose your own hours
    • Day shift
    • Evening shift

    Work setting:

    • Clinic
    • Hybrid work
    • Medical office
    • Office
    • Private practice

    Work Location: Hybrid remote in Iowa Falls, IA 50126

  • 8 Days Ago

F
Compliance Specialist
  • Floyd County Medical Center
  • Charles, IA FULL_TIME
  • View this post Department: Administration/Compliance Hours: Temporary - Fulltime, Part-time, or PRN - Flexible hours based on candidate's availability Description: Job Summary: The Compliance Speciali...
  • 1 Month Ago

F
Prior Authorization/Pre-certification and Referral Specialist
  • Floyd County Medical Center
  • Charles City, IA FULL_TIME
  • Department: Clinic Hours: Fulltime - Day Shift Description: JOB DUTIES & RESPONSIBILITIES: Position Overview: The Prior Authorization/Pre-certification and Referral Specialist is responsible for obtai...
  • 6 Days Ago

F
Prior Authorization/Pre-certification and Referral Specialist
  • Floyd County Medical Center
  • Charles City, IA FULL_TIME
  • Department: Clinic Hours: Fulltime - Day Shift Description: JOB DUTIES & RESPONSIBILITIES: Position Overview: The Prior Authorization/Pre-certification and Referral Specialist is responsible for obtai...
  • 6 Days Ago

F
Travel Medical Technologist (MLT)
  • Fusion Medical Staffing
  • Hampton, IA FULL_TIME,CONTRACTOR
  • Job DescriptionInterested in making a positive impact? You’ve come to the right place. At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we’re always looking for p...
  • Just Posted

O
Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • NEW HAMPTON, IA FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 1 Month Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Cedar Falls, IA area

C
Physical Therapy Assistant (PTA)
  • Cedar Valley Medical Specialists
  • Waterloo, IA
  • Job Type Full-time Description We are seeking a highly organized and compassionate assistant to support our healthcare t...
  • 4/25/2024 12:00:00 AM

T
Cedar Falls Outpatient ASU/CNA
  • Trinity Health
  • Cedar Falls, IA
  • Employment Type: Full timeShift: Day Shift Description: Position Purpose: Under the supervision of the Registered Nurse,...
  • 4/25/2024 12:00:00 AM

C
Front Desk Specialist - Cedar Valley Eye Care
  • Cedar Valley Medical Specialists
  • Waterloo, IA
  • Job Type Full-time Description Personable individual to help facilitate administrative tasks at the front desk assisting...
  • 4/24/2024 12:00:00 AM

C
CMA/LPN/RN (PRN)
  • Cedar Valley Medical Specialists
  • Parkersburg, IA
  • We are seeking a compassionate and experienced CMA or nurses to join our team. The successful candidate will be responsi...
  • 4/24/2024 12:00:00 AM

U
CDL-A OTR Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Cedar Falls, IA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
  • 4/24/2024 12:00:00 AM

U
CDL-A OTR Truck Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Cedar Falls, IA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! Top Benefits: Average 2,220+ miles per week Earn 45-60 CPM based on lo...
  • 4/24/2024 12:00:00 AM

U
CDL-A OTR Team Drivers - Top Team Pay + Great Benefits
  • U.S. Xpress
  • Cedar Falls, IA
  • U.S. Xpress is Now Hiring CDL-A OTR Team Drivers! CDL-A Teams: Top Team Pay in the Nation & Up To $15,000 Sign-On Bonus/...
  • 4/24/2024 12:00:00 AM

H
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
  • Hogan Transports
  • Cedar Falls, IA
  • Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA CDL-A Solo & Team Opportunities - No Touch Freight - Earn...
  • 4/23/2024 12:00:00 AM

Cedar Falls is a city in Black Hawk County, Iowa, United States. As of the 2010 census, the city population was 39,260. It is home to the University of Northern Iowa, a public university. Cedar Falls is located at 42°31′24″N 92°26′45″W / 42.52333°N 92.44583°W / 42.52333; -92.44583 (42.523520, −92.446402). According to the United States Census Bureau, the city has a total area of 29.61 square miles (76.69 km2), of which, 28.75 square miles (74.46 km2) is land and 0.86 square miles (2.23 km2) is water. Natural forest, prairie and wetland areas are found within the city limits at the Hartma...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$82,468 to $100,666
Cedar Falls, Iowa area prices
were up 0.8% from a year ago

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