Medical Policy Specialist jobs in Fort Wayne, IN

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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Scheduling Specialist
  • Lutheran Medical Group
  • FORT WAYNE, IN FULL_TIME
  • Summary:

    Primary responsibilities include scheduling diagnostic testing and office visits.  Scheduling of procedures requires coordination and communication with various departments within the clinic and the hospital setting.  As with all Lutheran Health Physicians positions, to always promote, through actions and attitudes, the highest level of customer care and service.

    Qualifications:

    Licensure/Certification/Registration:

    • No licensure / certification required

    Experience:  

    • 1-2 years of experience in office with previous experience in utilizing Electronic Medical Record strongly preferred but not required.
    • Proficiency in basic computer skills required, previous experience with Microsoft Office or equivalent software preferred.
    • Knowledge of Medical Terminology preferred but not required.

    Education:

    • High School Diploma or Equivalent
    • Previous coursework / diploma in the medical field or related discipline preferred but not required.
  • 1 Month Ago

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Automotive Painter
  • Perfect finish auto appearance specialist
  • Fort Wayne, IN FULL_TIME
  • Responsibilities:- Prepare surfaces for painting by cleaning, sanding, and applying primer- Mix and match paint colors to customer specifications- Apply paint using various techniques such as airless ...
  • 28 Days Ago

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Patient Services Specialist
  • Fort Wayne Medical Oncology & Hematology
  • Fort Wayne, IN FULL_TIME
  • Job description Fort Wayne Medical Oncology & Hematology is currently recruiting for a Full time Patient Services Specialist with a Monday - Friday eight (8) hour day time work schedule within a medic...
  • 14 Days Ago

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CBO- Claims Resolution Specialist - Remote Possible
  • Lutheran Medical Group
  • FORT WAYNE, IN FULL_TIME
  • Summary: Your primary focus will be on following up with insurance companies, tracking claims, and ensuring that all outstanding payments are collected Additionally, you will interact with doctor's of...
  • 1 Month Ago

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Maternal Fetal Medicine Specialist opportunity at Parkview Health located in Fort Wayne, IN
  • Parkview Regional Medical Center
  • Fort Wayne, IN FULL_TIME
  • Join Our Team!Parkview Health is currently seeking a 3rd Board Eligible or Board Certified Maternal Fetal Medicine Specialist to join our practice in Fort Wayne, Indianaas we expand the service line d...
  • 25 Days Ago

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Remote Medical Scheduling Specialist- Fort Wayne- Patient Access Center
  • Patient Access Center
  • Fort Wayne, IN FULL_TIME
  • Company Name: Community Health Systems- Patient Access Center Position Name: Remote Medical Scheduling Specialist This position is remote. This position is full time, which is 40 hours per week. If yo...
  • 4 Days Ago

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0 Medical Policy Specialist jobs found in Fort Wayne, IN area

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Transportation Manager
  • Ryder System
  • Fort Wayne, IN
  • Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-polic...
  • 4/17/2024 12:00:00 AM

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Nurse Practitioner (NP)
  • Community Health System
  • Fort Wayne, IN
  • Job Description Lutheran Hospital has an opportunity for a Physician Assistant or Nurse Practitioner on the Critical Car...
  • 4/17/2024 12:00:00 AM

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Memory Care Support Specialist - $2500 Sign-on Bonus!!!
  • Asccare
  • Fort Wayne, IN
  • ** Memory Care Support Specialist - $2500 Sign-on Bonus!!!** **Job Category****:** Clinical Services **Requisition Numbe...
  • 4/17/2024 12:00:00 AM

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Claims Adjuster II - Property
  • Brotherhood Mutual Insurance Company Inc.
  • Fort Wayne, IN
  • ** Claims Adjuster II - Property** **Job Category****:** Claims **Requisition Number****:** CLAIM001315 Showing 1 locati...
  • 4/16/2024 12:00:00 AM

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Server
  • Red Robin Gourmet Burgers
  • Fort Wayne, IN
  • Front of House Team Members**Red Robin** isn't your typical burger restaurant. We're a team filled with unbridled energy...
  • 4/16/2024 12:00:00 AM

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Business Customer Service Specialist I
  • American Telephone and Telegraph Company
  • Fort Wayne, IN
  • Enhance Your Experience Get a newer, better browser (it's free!) Ready for an A different browser will keep you connecte...
  • 4/16/2024 12:00:00 AM

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Hosp Concierge SpptTeam Member
  • Parkview Health
  • Fort Wayne, IN
  • Summary Provides a welcoming and supportive environment to patients within the Hospitality Lounge. Professionally greets...
  • 4/15/2024 12:00:00 AM

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EMS/Flight Ops Specialist
  • Parkview North Hospital
  • Fort Wayne, IN
  • Summary Receives and efficiently processes incoming and outgoing emergency and non-emergency pre-hospital service reques...
  • 4/14/2024 12:00:00 AM

Fort Wayne is a city in the U.S. state of Indiana and the seat of Allen County, United States. Located in northeastern Indiana, the city is 18 miles (29 km) west of the Ohio border and 50 miles (80 km) south of the Michigan border. With a population of 253,691 in the 2010 census, it is the second-most populous city in Indiana after Indianapolis, and the 75th-most populous city in the United States. It is the principal city of the Fort Wayne metropolitan area, consisting of Allen, Wells, and Whitley counties, a combined population of 419,453 as of 2011. Fort Wayne is the cultural and economic c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$83,452 to $101,867
Fort Wayne, Indiana area prices
were up 1.3% 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