Medical Policy Specialist jobs in Eugene, OR

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 Records Specialist
  • Women's Care
  • Eugene, OR FULL_TIME
  • Description

    Women’s Care is an independent physician’s group in with offices in Eugene and Springfield. Our clinics include:

    • OBGYN
    • Mammography
    • Midwifery
    • Maternal-Fetal Medicine
    • Fertility services
    • Community education

    Women’s Care takes care of all women, from adolescence to menopause, and is one of the area’s strongest advocates for women’s health. Our extremely well-educated employees are deeply compassionate and understand that all women have different needs and desires. We personalize care accordingly. Everyone at Women’s care is involved in the community in some way, whether it’s volunteering, working with charities, or working with scholarships for nursing students. This involvement creates a specific culture: Our staff members aren’t just employees; they are members of our community who choose to give back. Our warm, friendly, and supportive work environment is the perfect place to grow your career in healthcare. 

    The Medical Records Specialist performs duties related to the receipt, scanning, indexing, and destruction of non-electronic health and administrative information. They assume responsibility and is accountable for adherence to WC policies and procedures, as well as all applicable federal and state laws as they pertain to healthcare and employment.  

    The Medical Records Specialist works 32 hours a week:

    Mon/Thu/Fri 8am-5pm

    Tues/Wed off

    Sat/Sun 7am-11am

    32 hours per week.

    This position is located onsite at the Fertility Center of Oregon.

    ESSENTIAL DUTIES

    • Accurately sorts medical record documents received daily; scans and indexes materials accordingly, in a timely manner and within established guidelines; ensuring the proper disposition of documents.
    • Scans and indexes documents into the EMR. Notifies supervisor of duplicate charts.
    • Processes internal and external requests for copies of medical records in a timely manner.
    • Opens, sorts, and distributes incoming mail and faxes.
    • Maintains storage and retention of paper charts.
    • Responsible for protecting Personal Health Information (PHI) and maintaining compliance with WCs Privacy Policy. Uses the minimum PHI necessary when completing assignments.  
    • Promotes, establishes, and maintains open and effective communications with all members of WC.  
    • Receives, organizes, prioritizes, stores, and maintains transmittable information utilizing electronic technology.
    • This position requires up to 10-20% travel to other WC locations. 

    SECONDARY DUTIES

    • Answers phones in a courteous and efficient manner, directing calls to the appropriate individual and taking accurate messages.  
    • Assumes responsibility for various department functions in the absence of staff members or in overload situations. 
    • Participates actively and helpfully in special committees as assigned by management and/or physicians.
    • Completes assigned competency and compliance training as assigned.
    • Any other duties as defined by management or physicians.


    Requirements

    EDUCATION AND EXPERIENCE

    High School Diploma or equivalent and minimum of one year of related medical experience; or equivalent combination of education and/or experience. Work related experience should be within the discipline of medical records.  

    COMPETENCIES

    • Exceptional organizational and time management skills to ensure maximum productivity.
    • Exceptional verbal, written, and interpersonal communication skills with the ability to apply common sense; to carry out instructions; and speak clearly to patients, employees, physicians, and management.  
    • Ability to deal with moderately complex problems involving multiple facets and variables in non-standardized situations.
    • Ability to work with no supervision while performing duties.

    WORK ENVIRONMENT AND PHYSICAL DEMANDS

    This job operates in a professional medical office environment. Requires the ability to work under pressure and with a diverse population including staff, physicians, patients, vendors, and other members of the public on a regular basis. This position will have frequent exposure to contagious diseases; bodily fluids including blood; toxic substances; medicinal preparations and other conditions common to a clinical environment. 

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential duties.

    • Frequently required to stand, walk, and/or move about the office to assist physicians, patients, and to accomplish tasks.
    • Frequently required push, pull, reach, and/or transport supplies and or equipment to various locations within the office. (10-50 pounds.)
    • Rarely required to have full range of body motion in order to assist, move, and/or lift patients. (75 pounds.)


    Women’s Care benefits for employees working at least 24 hours per week:

    • Medical insurance, including a traditional plan with Health Reimbursement Arrangement or HSA with company contribution
    • Dental insurance
    • Vision insurance
    • Flex Spending Account/Dependent Care Flex Spending Account
    • Voluntary Life, AD & D, Short-Term Disability and Long-Term Disability
    • Company-provided life insurance
    • Traditional and/or Roth 401k with Employer Match up to 6% and profit-sharing
    • Employee Assistance Plan
    • Paid vacation time
    • Generous sick leave
    • Paid Holidays, including 2 floating holidays


  • 21 Days Ago

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Medical Billing Specialist
  • Frontier Dermatology
  • Eugene, OR FULL_TIME
  • Join our growing company dedicated to quality care at Frontier Dermatology! Position Details: Overview: Do you enjoy working behind the scenes on the computer investigating and correcting denial claim...
  • 1 Month Ago

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Student Program and Policy Advisor
  • University of Oregon
  • Eugene, OR FULL_TIME
  • Job no: 533624 Work type: Officer of Administration Location: Eugene, OR Categories: Administrative/Professional Department: Student Government Engagement and Success Appointment Type and Duration: Re...
  • 21 Days Ago

A
Medical Scribe/Medical Assistant/LPN
  • Applegate Medical Associates
  • Eugene, OR FULL_TIME
  • Medical Assistant/scribe needed for a small, but busy, private integrated Primary Care clinic in Eugene, OR. If you have a desire to provide quality healthcare to patients, we want you. At Applegate M...
  • 11 Days Ago

O
Medical Assistant - Country Club Clinic
  • OnePeak Medical
  • Eugene, OR FULL_TIME
  • OnePeak Medical is hiring a full-time Medical Assistant If you are a results-driven individual with an interest in changing lives through an innovative approach to health and wellness you will want to...
  • Just Posted

O
Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • COOS BAY, OR 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...
  • 12 Days Ago

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0 Medical Policy Specialist jobs found in Eugene, OR area

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EMTB / AEMT / Paramedic
  • Hiring Now!
  • Eugene, OR
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/25/2024 12:00:00 AM

H
EMT
  • Hiring Now!
  • Eugene, OR
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/25/2024 12:00:00 AM

H
LPN
  • Hiring Now!
  • Eugene, OR
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/24/2024 12:00:00 AM

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Licensed Practical Nurse
  • Hiring Now!
  • Eugene, OR
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/24/2024 12:00:00 AM

H
EMTB / AEMT / Paramedic / LPN
  • Hiring Now!
  • Eugene, OR
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/24/2024 12:00:00 AM

O
Prior Authorization and Insurance Verification Specialist
  • Oregon Surgi Center
  • Springfield, OR
  • Oregon SurgiCenter has a Full-Time, Prior Authorization and Insurance Verification Specialist opportunity available. Ore...
  • 4/24/2024 12:00:00 AM

O
LPN/CMA/RMA (Part Time)
  • Oregon Urology Institute
  • Springfield, OR
  • Oregon Urology Institute has a Part Time CMA/RMA or LPN positions available. Oregon Urology Institute is one of the larg...
  • 4/22/2024 12:00:00 AM

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EMTB / AEMT / Paramedic / LPN
  • Grifols
  • Eugene, OR
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/10/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 43.74 square miles (113.29 km2), of which 43.72 square miles (113.23 km2) is land and 0.02 square miles (0.05 km2) is water. Eugene is at an elevation of 426 feet (130 m). To the north of downtown is Skinner Butte. Northeast of the city is the Coburg Hills. Spencer Butte is a prominent landmark south of the city. Mount Pisgah is southeast of Eugene and includes Mount Pisgah Arboretum and Howard Buford Recreation Area, a Lane County Park. Eugene is surrounded by foothills and forests to the south, east, and west, while t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$89,534 to $109,291
Eugene, Oregon area prices
were up 2.5% 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