Medical Policy Specialist jobs in Fort Smith, AR

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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Remote Medical Customer Service Specialist
  • Shared Services Center
  • Fort Smith, AR FULL_TIME
  • This is a remote position.

    The training hours are Monday-Friday from 8:00am - 5:00pm (CST time zone) for the three two weeks.

    The working hours are Monday-Friday from 8:00am-4:30pm AZ MST OR 8:30am - 5:00pm AZ MST (Arizona MST time zone). (This schedule will begin after the first 3 weeks of training.)

    If you are a creative and flexible problem-solver who wants to be an advocate for our patients and be part of a passionate team in a dynamic industry, this job is for you.

    Rewards for Doing Work That Matters – What’s in it for you:

    • Starting pay: $15.50/hr-$18.00/hr
    • Cash bonuses (based on facility performance) up to $750.00 per quarter
    • Health Insurance Benefits (Medical, Dental, Vision, Flexible Spending Account, Short and Long Term Disability)
    • Paid vacation days
    • Paid sick leave
    • 6 paid holidays plus two personal holidays
    • Extra perks and discounts (discounts for shopping and entertainment, tuition reimbursement, adoption reimbursement, Employee Assistance Program)
    • Promotional opportunities
    • An employee-friendly environment focused on patient satisfaction

    Essential Duties:

    • Handling inbound and outbound calls from patients and our client facilities by listening, empathizing, and solving issues;or escalating to the
      next level using sound judgment
    • Using a computer to navigate screens to notate and effectuate a positive patient experience
    • Perform administrative duties by managing email, completing assignments, and other duties
    • Actively participate in regular departmental meetings, facility town halls, and individual meetings to provide feedback on customer service operations and process improvement strategies

    Job Requirements

    • Be at least 18 years old with a high school diploma or GED
    • Demonstrated ability to navigate a computer
    • Demonstrated ability to be detail-oriented, analytical, and be a creative problem solver
    • Must have a proven track record of being positive, solution-oriented attitude, and a great sense of humor
    • Ability to type at least 30 words per minute
    • Must have reliable, consistent transportation
    • Ability to pass a background check and a drug screen

    Wow Factors

    • Previous medical office experience including working knowledge of revenue cycle, medical terminology, and insurance claim filing experience
    • Billing or other revenue cycle certifications

    INDSS

    Experience

    Preferred
    • 1 year(s): Call center or phone experience

    Education

    Required
    • High School or better
  • 14 Days Ago

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Medical
  • Coast Medical Service
  • Fort Smith, AR FULL_TIME
  • Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featur...
  • 2 Days Ago

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Remote Medical Insurance Reimbursement Specialist - Governmental
  • SSC - Fort Smith
  • FORT SMITH, AR FULL_TIME
  • This is a remote position. This position is for the Governmental team. Summary: The Insurance Reimbursement Specialist, under the direction of Accounts Receivable Manager, ensures claims submitted to ...
  • 17 Days Ago

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Remote Medical Benefit Verification Specialist - Outpatient
  • SSC - Fort Smith
  • FORT SMITH, AR FULL_TIME
  • This position is remote. The working hours are 8:00am - 4:30pm CST. Summary: The Benefit Verification Specialist – Outpatient, under the direction of the Benefits Manager or Supervisor, verifies benef...
  • 17 Days Ago

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Remote Medical Insurance Reimbursement Specialist - Governmental
  • Shared Services Center - Fort Smith
  • Fort Smith, AR FULL_TIME
  • The Shared Services Center - Fort Smith provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare pro...
  • 13 Days Ago

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Remote Medical Benefit Verification Specialist - Tucson
  • Shared Services Center - Fort Smith
  • Fort Smith, AR FULL_TIME
  • The Shared Services Center - Fort Smith provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare pro...
  • 27 Days Ago

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0 Medical Policy Specialist jobs found in Fort Smith, AR area

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Remote Medical Insurance Reimbursement Specialist - Governmental
  • Shared Services Center - Fort Smith
  • Fort Smith, AR
  • This is a remote position. This position is for the Governmental team. Summary: The Insurance Reimbursement Specialist, ...
  • 4/22/2024 12:00:00 AM

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Prep Machine Operator 2nd Shift
  • Nestle Operational Services Worldwide SA
  • Fort Smith, AR
  • As the world leader in nutrition, health and wellness for children from birth to preschool, Gerber Products Company is c...
  • 4/22/2024 12:00:00 AM

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Part-Time Retail Sales Representative-2
  • Blue Cross and Blue Shield Association
  • Fort Smith, AR
  • To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. Applicants must be eligible ...
  • 4/22/2024 12:00:00 AM

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Medical Surgical in Arkansas
  • AB Staffing Solutions
  • Fort Smith, AR
  • Medical Surgical - Fort Smith, AR 72903 Are you ready to explore new places while building your resume? At AB Staffing, ...
  • 4/21/2024 12:00:00 AM

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Nurse Practitioner
  • Milan Laser Company
  • Fort Smith, AR
  • About Milan Laser Hair Removal Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. Tha...
  • 4/20/2024 12:00:00 AM

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Travel Skilled Nursing Facility Speech Language Pathologist - $1,812 per week
  • Hiring Now!
  • Van Buren, AR
  • Jackson Therapy Partners is seeking a travel Skilled Nursing Facility Speech Language Pathologist for a travel job in Va...
  • 4/20/2024 12:00:00 AM

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Remote Medical Insurance Reimbursement Specialist - Managed Medicaid
  • Shared Services Center - Fort Smith
  • Fort Smith, AR
  • This is a remote position. This is for the Managed Medicaid team. Summary: The Insurance Reimbursement Specialist, under...
  • 4/19/2024 12:00:00 AM

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Aircraft Mechanic F-35 Low Observable Coatings - Level 4
  • Lockheed Martin
  • Fort Smith, AR
  • Job Description What You Will Be Doing: We are seeking an Aircraft Mechanic with specialized experience in Low Observabl...
  • 4/19/2024 12:00:00 AM

Fort Smith is the second-largest city in Arkansas and one of the two county seats of Sebastian County. As of the 2010 Census, the population was 86,209. With an estimated population of 88,037 in 2017, it is the principal city of the Fort Smith, Arkansas-Oklahoma Metropolitan Statistical Area, a region of 298,592 residents that encompasses the Arkansas counties of Crawford, Franklin, and Sebastian, and the Oklahoma counties of Le Flore and Sequoyah. Fort Smith has a sister city relationship with Cisterna, Italy, site of the World War II Battle of Cisterna, fought by United States Army Rangers c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$78,085 to $95,316
Fort Smith, Arkansas area prices
were up 1.2% 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