Medical Policy Specialist jobs in Erie, PA

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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INFRASTRUCTURE SPECIALIST - IS
  • MEADVILLE MEDICAL CENTER
  • Meadville, PA FULL_TIME
  • JOB DUTIES

    Installs new / rebuilds existing servers and configures hardware, peripherals, services, settings, directories, storage, etc. in accordance with standards and project/operational requirements.

    Implement systems for various project and operational needs.

    Maintains knowledge of IT infrastructure.

    Provides Supervisor, IS Technology regular project updates.

    With a smile and in a positive fashion, communicates with other staff on key issues as required ensuring projects and tasks are being completed and documented as needed.

    Completes work within acceptable time limits and demonstrates the ability to set priorities.

    Demonstrates good judgment in handling situations not covered by written or verbal instructions.

    Follows through with assignments and lets affected parties know if unable to complete task.

    MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED

    IT Certifications or relevant degree required. Must be able to read, write and follow written and verbal directions.

    Three (3) years’ experience in a Windows Server environment preferred. Additional relevant experience may be considered in lieu of the educational requirements.

    A detailed knowledge of Windows environment is required.

    Working knowledge of popular software products such as Microsoft Office is required.

    Knowledge of Server virtualization is essential.

    Requires working understanding of networking technology in a TCP/IP based network.

    Analytical skills are mandatory to help ensure an organized approach to problem solving and system deployment.

    Will provide direct infrastructure support for server based systems to help ensure users’ needs are met. Knowledge of MS Exchange, SQL Server, VMWare and Active Directory are considered vital skills.

    Must be able to communicate and effectively exchange information with Information Systems staff, other Meadville Medical Center staff, physicians, physician office staff, and other customers

    A strong working knowledge of the Windows Server Operating System platform is required.

    Working knowledge of popular software products such as Microsoft Office is necessary.

    Knowledge of Server virtualization is essential. Specifically, the VMware virtualization Technlogies.

    Requires a basic understanding of networking technologies used in a TCP/IP based network.

    Analytical skills are mandatory to help ensure an organized approach to problem solving and system deployment.

    Will provide direct infrastructure support for server-based systems to help ensure users’ needs are met.

    A strong working knowledge of MS Exchange, SQL Server, VMWare and Active Directory are considered vital skills.

    Must be able to communicate and effectively. Written and verbal exchange of information with Information Systems staff, other Meadville Medical Center staff, physicians, physician office staff, and other customers is required.

    Primarily in an office setting. May be required to be in various hospital departments. May need to work under stressful situations with frequent interruptions.

    Behaviors

    Preferred
    • Enthusiastic: Shows intense and eager enjoyment and interest
    • Team Player: Works well as a member of a group
    • Innovative: Consistently introduces new ideas and demonstrates original thinking
    • Dedicated: Devoted to a task or purpose with loyalty or integrity

    Motivations

    Preferred
    • Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
    • Goal Completion: Inspired to perform well by the completion of tasks
    • Self-Starter: Inspired to perform without outside help
  • 1 Month Ago

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Tree Service Groundsman
  • Odd Job The Tree Specialist LLC.
  • Edinboro, PA PART_TIME,CONTRACTOR
  • As we start to ease our way into the spring and summer season, I’d like to start conducting interviews for anyone interested in a part-time position working on a Tree crew. There is a possibly this co...
  • 16 Days Ago

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Medical Records Specialist
  • Allegheny Health Network
  • Erie, PA FULL_TIME
  • Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Analyze medical records to identify deficiencies for completion by the physician or professional staff. Account for discharges, o...
  • Just Posted

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Medical Transport Specialist / Driver
  • Quest Diagnostics
  • Erie, PA PART_TIME
  • Overview Medical Transport Specialist / Driver - Erie, PA - Saturday / Sunday / Holiday 05:30 - 16:30 We will provide you a career with a leader in the healthcare industry, by offering a wide variety ...
  • 11 Days Ago

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Medical Transport Specialist / Driver
  • Quest Diagnostics
  • Meadville, PA PART_TIME
  • Overview Medical Transport Specialist / Driver Meadville, PA - Saturday Only: 10:45AM - 8:00 PM We will provide you a career with a leader in the healthcare industry, by offering a wide variety of opp...
  • 1 Month Ago

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OFFICE SPECIALIST - MBH
  • MEADVILLE MEDICAL CENTER
  • Meadville, PA FULL_TIME
  • SUMMARY Greets, and provides assistance to all patients incoming and outgoing. Pleasantly receives all phone calls within three rings and refers to the appropriate person. Maintains order and control ...
  • 25 Days Ago

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0 Medical Policy Specialist jobs found in Erie, PA area

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IT Help Desk
  • Akkodis
  • Erie, PA
  • Job Description Job Description color:rgb(51,51,51);">Akkodis is partnering with a Fortune 500 company in Erie, PA, recr...
  • 4/23/2024 12:00:00 AM

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Office Administrator
  • Akkodis
  • Erie, PA
  • Job Description Job Description Akkodis is partnering with a Fortune 500 company in Erie, PA, recruiting organized and g...
  • 4/23/2024 12:00:00 AM

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Travel Cardiac Sonographer - $2,162 per week
  • Hiring Now!
  • Erie, PA
  • ARMStaffing is seeking a travel Cardiac Sonographer for a travel job in Erie, Pennsylvania. Job Description & Requiremen...
  • 4/23/2024 12:00:00 AM

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Shipping & Receiving Specialist
  • Erie Forge & Steel Inc.
  • Erie, PA
  • Job Description Job Description SHIPPING & RECEIVING SPECIALIST Erie Forge and Steel, Inc. an industry leading manufactu...
  • 4/23/2024 12:00:00 AM

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Travel Echo Technologist - $2,186 per week
  • Hiring Now!
  • Erie, PA
  • Jackson Therapy Partners is seeking a travel Echo Technologist for a travel job in Erie, Pennsylvania. Job Description &...
  • 4/22/2024 12:00:00 AM

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Travel Nurse RN - Long Term Acute Care - $2,100 per week
  • Hiring Now!
  • Erie, PA
  • TWG Staffing is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Erie, Pennsylvania. Job Descr...
  • 4/22/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,855 per week
  • Adventist Health
  • Erie, PA
  • RNnetwork is seeking a travel nurse RN Med Surg for a travel nursing job in Erie, Pennsylvania. Job Description & Requir...
  • 4/22/2024 12:00:00 AM

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Travel Cath Lab Technologist - $1,750 per week
  • TRS Healthcare
  • Erie, PA
  • ARMStaffing is seeking a travel Cath Lab Technologist for a travel job in Erie, Pennsylvania. Job Description & Requirem...
  • 4/22/2024 12:00:00 AM

Erie (/ˈɪəri/; EER-ee) is a city on the south shore of Lake Erie and the county seat of Erie County, Pennsylvania, United States. Named for the lake and the Native American Erie people who lived in the area until the mid-17th century, Erie is the fourth-largest city in Pennsylvania, as well as the largest city in Northwestern Pennsylvania, with a population of 101,786 at the 2010 census. The estimated population in 2017 had decreased to 97,369. The Erie metropolitan area, equivalent to all of Erie County, consists of 276,207 residents. The Erie-Meadville, PA Combined Statistical Area has a pop...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$82,647 to $100,884
Erie, Pennsylvania area prices
were up 1.5% 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