Medical Policy Specialist jobs in Las Vegas, NV

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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Customer Service Specialist (Las Vegas, NV)
  • Firearms Policy Coalition
  • Las Vegas, NV FULL_TIME
  • This is not a job post for another corporate gig. This is an opportunity to join an impactful team of freedom fighters and change the course of history. This is a mission. A calling. This is about fighting tyranny and working to create a world of maximal human liberty for your family, friends, neighbors, and your children's children. Apply only if you have the integrity, tenacity, humility, commitment, and skill to take on this sacred responsibility and deliver extraordinary results... even—especially—when it's hard.


    ROLE: Customer Service Specialist (Las Vegas, NV)

    REPORTS TO: Head of Grassroots

    LOCATION: Based at Las Vegas, NV headquarters (89149)

    COMPENSATION: $49,920 - 62,400/year (depending on experience and qualifications)

    TYPE: Full-Time


    What we're looking for

    • A genuinely excellent human being who lives our values, loves our mission, hates to lose, and wants to help us win
    • A results-focused individual to consistently deliver excellent customer service with a professional, cheerful, and positive resolution-based approach, stay highly organized, document thoroughly, and keep things running smoothly
    • High integrity, high competence, and high drive
    • A willingness to adapt, take on challenges, learn, and grow
    • Someone we enjoy working withand that enjoys working with us as part of a team


    What you’ll do

    • Independently evaluate issues and determine the appropriate course of action, referral, or response
    • Own the customer experience, provide excellent service, and deliver positive outcomes for the people we serve
    • Ensure inbound requests are fully and timely resolved
    • Coordinate messaging with team members 
    • Stay informed of organizational work products and current/active issues and events
    • Track various items and activities with spreadsheets and documents
    • Update and maintain CRMs and member/donor databases to ensure completeness and accuracy
    • Handle confidential information with discretion and maintain strict confidentiality
    • Protect the privacy and confidentiality of our members, donors, supporters, and constituents
    • Assist with special projects, travel, logistics, meetings, and event planning
    • Work with collogues and contractors to troubleshoot, fix, and improve processes and systems
    • Collect data, perform analysis, maintain business analytics/dashboards, and prepare/present reports on a recurring and ad hoc basis
    • Attend meetings, take detailed minutes, memorialize/communicate action items/follow-ups, and see that follow-ups are timely and properly completed
    • Occasional errands and driving
    • Occasional lifting of up to 50 pounds
    • Perform other duties and manage projects as assigned


    Who we are

    • Firearms Policy Coalition (FPC) is a high-impact nonprofit advocacy organization that fights forward to create a world of maximal individual liberty (check out our news, X/Twitter, IG for more)
    • We have an important purpose, clear current mission, strong values, and transparent core beliefs
    • We primarily work through two programs: litigation and culture (we also engage in grassroots lobbying and other related action-oriented programs)
    • We founded FPC Law (FPCLaw.org), the nation’s first and largest public interest legal team focused on the right to keep and bear arms and the leader in the Second Amendment litigation and research space


    How to apply

    Candidates should provide:

    • A cover letter explaining: 1) why you want to join our team, and 2) why we should hire you
    • A complete, up-to-date resume
    • Professional and personal references (at least 3 each)


    Benefits

    We offer competitive compensation as well as an excellent benefits package including:

    • Medical, dental, and vision insurance (99% employer paid)
    • Generous paid time off
    • Numerous paid holidays
    • Employer HSA contribution of $100 per month (with a qualified health plan)
    • 401(k) retirement savings plan with 100% to 5% match
    • 100% employer-paid life insurance
    • 100% employer-paid short-term and long-term disability insurance
    • A mission, results, and fun-focused team culture with real values we apply every day
    • Opportunities to develop skills while working to change the course of history


    Requirements

    • Be at least 18 years old and legally eligible to work in the U.S.
    • Be a genuinely excellent human being who lives our values, loves our mission, hates to lose, and wants to make our enemies cry harder
    • Have alignment with and support for FPC’s purpose, core beliefs, current mission, and brand
    • Have at least 3 years of successful experience in a customer service or administrative/reception role independently resolving inbound requests
    • Have a detail-oriented mindset with exceptional comprehension and the ability to independently frame appropriate responses
    • Have exceptional written and oral communication skills (fluent in U.S. English) 
    • Have integrity, tenacity, loyalty, and extreme ownership
    • Have high drive, curiosity, and commitment to meeting goals on time
    • Have a strong sense of humor and positive, team-first attitude
    • Have exceptional organization and follow-through
    • Earn trust, prove your capabilities, and deliver value
    • Be someone we enjoy working with -- and that enjoys working with us as part of a team
    • Have emotional maturity and the ability to successfully work with strong personalities 
    • Have exceptionally strong processing, organizational, and work management skills
    • Have the ability to maintain poise, perform at a high level, and make progress in high-intensity situations
    • Have the ability to efficiently use Apple computers, Google Workspace and Microsoft Office business software, video conferencing platforms, asynchronous and synchronous collaboration tools, and work planning/management tools
    • Have the ability to keep meticulous records and stay organized
    • Have the ability to learn quickly, innovate, and solve problems


    Preferences

    • An associates or bachelor's degree in English, communications, business or another relevant field
    • 5 years of successful experience in a customer service role or administrative/reception role independently resolving inbound requests
    • Experience with help desk ticketing systems (HelpScout, etc.)
    • Experience with CRMs and excellent spreadsheet skills


    Our Core Beliefs

    We believe that the People’s access to and exercise of natural rights, including that to personal property, are necessary to achieve and maintain a free world. To that end:

    • We believe that natural rights are not granted by governments, a byproduct of majority consensus or majoritarian process, or mere privileges conferred by any government, group, or creation of man. 
    • We believe that natural rights include but are not limited to the rights to self-defense and use of just force against unjust force; acquiring, possessing, training with, carrying, and using arms for moral and just purposes; free speech; association; protest; privacy; due process; equal protection of the laws; private property; and free markets.
    • We believe that how a government or society regulates the right to keep and bear arms is a strong and likely leading indicator of how that government or society does or will approach regulation of other natural rights and personal property.
    • We believe that well-armed people make tyranny at scale significantly more costly.
    • We believe that liberty is correlated with access to innovation and technology, including but not limited to that of arms, speech, and encryption.
    • We believe that it is immoral to unjustly use force to take the life, liberty, or property of others.
    • We believe that we must eliminate coercion and immoral laws, policies, regulations, customs, and enforcement practices in order to fulfill our Purpose.


    Our Values

    • We operate with integrity according to our Core Beliefs and the Firearms Policy Ethic
    • We deliver value by consistently meeting expectations on time
    • We take ownership of and responsibility for our decisions, actions, and outcomes
    • We communicate—up, down, and across—without needing to be asked
    • We overcome challenges and achieve objectives with tenacity and grit
    • We learn from failures, mistakes, criticism, feedback, and success


    We are an equal opportunity employer.

  • 1 Month Ago

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Medical Billing Collections Specialist
  • Apex Medical Center
  • Las Vegas, NV FULL_TIME
  • Apex Medical Center is currently seeking a Billing Collections Specialist to join our team in Las Vegas, NV 89106. Who We Are: Apex Medical Center is a comprehensive practice and offers services beyon...
  • 14 Days Ago

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Medical Prior Authorization Specialist
  • Apex Medical Center
  • Las Vegas, NV FULL_TIME
  • Apex Medical Center is currently seeking a Medical Prior Authorization Specialist to join our team in Las Vegas, NV 89106. Who We Are: Apex Medical Center is a comprehensive practice and offers servic...
  • 14 Days Ago

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Medical Office Specialist
  • MountainView Medical Associates
  • Las Vegas, NV FULL_TIME
  • Hourly Wage Estimate: $16.12 - $23.37 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used ...
  • 5 Days Ago

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Medical Guarantor Collection Specialist
  • Steinberg Diagnostic Medical Imaging
  • Las Vegas, NV FULL_TIME
  • Must be 18 and a high school graduate or equivalent to be employed by SDMI SDMI is seeking a Medical Guarantor Collections Specialist to join our team! About SDMI: SDMI believes that “if you practice ...
  • 18 Days Ago

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Director of Public Relations
  • Firearms Policy Coalition
  • Las Vegas, NV FULL_TIME
  • This is not a job post. This is a mission—an opportunity to join an impactful team of freedom fighters and change the course of history. This is a calling to fight tyranny and work to create a world o...
  • 15 Days Ago

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0 Medical Policy Specialist jobs found in Las Vegas, NV area

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CDL-A OTR Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Las Vegas, NV
  • 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...
  • 4/19/2024 12:00:00 AM

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CDL-A OTR Team Drivers - Top Team Pay + Great Benefits
  • U.S. Xpress
  • Las Vegas, NV
  • 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/...
  • 4/19/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • Las Vegas, NV
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/18/2024 12:00:00 AM

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Urgent Care Veterinarian - Exceptional Opportunity, Excellent Compensation - Las Vegas, NV
  • Desort
  • Las Vegas, NV
  • Full time Urgent Care Veterinarian - Exceptional Opportunity, Excellent Compensation - Las Vegas, NV We are looking for ...
  • 4/18/2024 12:00:00 AM

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Receptionist
  • Primecare Benefits Inc.
  • Las Vegas, NV
  • Position Summary: Nevada Dental Benefits Ltd., is seeking full time receptionists to support the delivery of patient cen...
  • 4/17/2024 12:00:00 AM

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Area Scouts | Sports - Regional Manager | Athlete Evaluator
  • Area Scouts
  • Las Vegas, NV
  • Job Description Area Scouts Sports - Regional Manager Athlete Evaluator Sports Currently Covered: Baseball •Basketball •...
  • 4/17/2024 12:00:00 AM

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PRN Medical Assistant
  • Concentra Career Choice
  • Las Vegas, NV
  • Overview: Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care...
  • 4/16/2024 12:00:00 AM

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PRN Medical Assistant
  • Concentra
  • Las Vegas, NV
  • Overview: Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care...
  • 4/16/2024 12:00:00 AM

Las Vegas is situated within Clark County in a basin on the floor of the Mojave Desert and is surrounded by mountain ranges on all sides. Much of the landscape is rocky and arid with desert vegetation and wildlife. It can be subjected to torrential flash floods, although much has been done to mitigate the effects of flash floods through improved drainage systems. The peaks surrounding Las Vegas reach elevations of over 10,000 feet (3,000 m), and act as barriers to the strong flow of moisture from the surrounding area. The elevation is approximately 2,030 ft (620 m) above sea level. According t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$90,339 to $110,274
Las Vegas, Nevada 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