Medical Policy Specialist jobs in Lompoc, CA

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 Assistant
  • Lompoc Valley Medical Center
  • Lompoc, CA OTHER
  • Salary Range: $18.93 - $26.09

    Pay rates are determined based on experience and internal equity.

    Position Summary:

    • Assists with office procedures and provides direct patient care.
    • Obtain and document patient history and vital signs (i.e., height, weight, BP).
    • Performs a wide range of clerical duties that may include: obtaining test results, tracking labs, documenting information as needed, helping to schedule follow-up appointments, procedures and tests.
    • Clean exam room tables, chairs, surfaces, blood pressure cuffs, patient care equipment and other equipment as needed. Keep exam rooms stocked with supplies.
    • Organize and maintain clinical stations and medication rooms as needed.
    • Occasionally cover for other non-licensed staff as deemed necessary.
    • Completes special projects as assigned.
    • Works as a team player supporting a variety of staff.
    • Displays a caring and responsive attitude and conducts all activities respecting patient, family and employee rights and expectations.
    • Demonstrates sound cost containment techniques.
    • Adheres to established safety requirements and procedures to ensure a safe working environment.
    • Maintains and evaluates own clinical expertise and practice. Recognizes legal and policy limits of individual practice.
    • Maintains certification and license requirements and submits required evidence of certification/licensure as needed.
    • Adheres to all policies and procedures.
    • Regular attendance is an essential job function.
    • Completes annual performance and competency evaluation process with management and participates in goal setting, performance improvement and educational training as needed.
    • Participates in department quality improvement, clinic safety, infection control and hazardous materials programs/activities. 
    • Participates in professional development activities and maintains professional affiliations.
    • Attends required meetings and participates in committees as requested.
    • Adheres to HIPAA regulations.
    • Exercises discretion and maintains high level of confidentiality.
    • Performs related work as required.

    District Responsibility:

    • Support of the District Mission and Values
    • Demonstrate Respect, Professionalism and Courtesy to all patients, other providers and coworkers.
    • Constantly use C-I-CARE principles when communicating with others.

    Position Duties/Responsibility:

    • Knowledge of clinical policies and procedures.
    • Knowledge of clinical practices and medical terminology.
    • Knowledge of common safety hazards and precautions to establish a safe work environment.
    • Ability to communicate well with patients, families, co-workers, physicians, other members of the healthcare team, etc.
    • Ability to adapt to varied, age-specific and/or specialized groups.
    • Ability to understand use, function, interpret, document, and keep records.
    • Ability to interpret, adapt and apply guidelines and procedures.
    • Ability to react calmly and effectively in emergency situations.
    • Ability to read, write and communicate effectively in English.
    • Ability to organize and prioritize work. 
    • Ability to follow oral and written instructions. 
    • Ability to reason and make sound judgments.
    • Skill in identifying problems and recommending solutions.
    • Skill in establishing and maintaining effective working relationships with co-workers, management, patients, medical staff, and the public.
    • Skill in accepting constructive criticism and giving suggestions in a professional manner.

    Essential Functions:

    • The ability to verbally and in writing communicates with physician; patients and co-workers.
    • The ability to maintain a California Medical Assistant certification.
    • The ability to be supervised.
    • The ability to work as a Team.
    • The ability to have positive personal interactions with coworkers, patients, families and others.

    Position Qualifications:

    • High School diploma or equivalent.
    • Certification with one of the following agencies is highly preferred: American Association of Medical Assistants (AMA), American Medical Technologists (AMT), California Certifying Board of Medical Assistants (CMAA) with Injection Training.
    • Current CPR certification required from the American Heart Association.
    • Skills/Ability:    Be able to communicate effectively with patients to the degree the patient’s ability allows. Be able to follow written and verbal instructions and communicate patient’s condition to other staff.  Bilingual Spanish fluency preferred but not required.
    • LVMC reserves the right to modify the minimum requirements depending on the needs of the organization.
  • 30 Days Ago

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Medical Assistant- Office Support
  • Lompoc Valley Medical Center
  • Lompoc, CA FULL_TIME
  • Salary Range: $18.93 - $26.09 Pay rates are determined based on experience and internal equity. Position Summary: The Oncology MA Office Support reports to the Hematology-Oncology Site Supervisor with...
  • 4 Days Ago

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Medical Device Sales - Paid Internship
  • Medical Sales College
  • Santa Ynez, CA FULL_TIME
  • DescriptionMedical Device Sales - Paid InternshipLooking for a rewarding and lucrative career in the medical sales industry? Our paid Internship may be the right path for you!Here are just some of the...
  • 1 Month Ago

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Medical Device Sales - Paid Internship
  • Medical Sales College
  • Lompoc, CA FULL_TIME
  • DescriptionMedical Device Sales - Paid InternshipLooking for a rewarding and lucrative career in the medical sales industry? Our paid Internship may be the right path for you!Here are just some of the...
  • 1 Month Ago

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Medical Assistant
  • County of Santa Barbara
  • Lompoc, CA FULL_TIME
  • Description SALARY $25.95 - $30.90 Hourly$54,152.42 - $64,489.92 AnnuallyBilingual allowance, when applicable_________________________________________The County of Santa Barbara is currently seeking d...
  • 1 Month Ago

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Travel Nurse RN - Labor/Delivery - $2,959 per week in Lompoc, CA
  • Medical Solutions
  • Lompoc, CA FULL_TIME
  • $2666.26-$2959.26 wk (includes wage of ~$23.00-$23.00/hr and per diems if eligible)click for benefits and other job details ~$966-$966 weekly taxable income ~$1700.26 in non-taxable per diem (amount s...
  • 12 Days Ago

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0 Medical Policy Specialist jobs found in Lompoc, CA area

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Tire and Lube Technician
  • Big Brand Tire & Service
  • Lompoc, CA
  • Job Description Job Description Tire and Lube Technician: $17.50-$20 effective rate (Base Pay + Commission + Paid Benefi...
  • 4/23/2024 12:00:00 AM

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Overnight Sleep Technologist
  • Hypnometrics
  • Lompoc, CA
  • Job Description Job Description Job Summary: As a Sleep Technologist, you will work under the supervision of a Sleep Spe...
  • 4/23/2024 12:00:00 AM

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Automotive Tire and Lube Technician
  • American Tire Depot
  • Lompoc, CA
  • Job Description Job Description Automotive Tire and Lube Technician: $17.50-$20 effective rate (Base Pay + Commission + ...
  • 4/23/2024 12:00:00 AM

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Cargo Handler
  • Central California Recruiting Battalion
  • Lompoc, CA
  • Job Description Job Description As a Cargo Specialist, you'll be the cargo handling expert for everything the Army moves...
  • 4/23/2024 12:00:00 AM

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Emergency Room (ER) Nurse
  • Prolink
  • Lompoc, CA
  • Lompoc Valley Medical Center - Registered Nurse (RN) - Emergency Department (ED) About our Emergency Department: Our exp...
  • 4/22/2024 12:00:00 AM

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Aquatics Specialist - Lifeguard/Swim Instructor
  • City of Lompoc, CA
  • Lompoc, CA
  • Salary : $3,414.35 - $4,080.01 Monthly Location : Lompoc, CA Job Type: Full-Time, Permanent Job Number: 0450723 Departme...
  • 4/22/2024 12:00:00 AM

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Retail Sales Associate - Lompoc Center
  • The Gap
  • Lompoc, CA
  • About Old Navy Forget what you know about old-school industry rules. When you work at Old Navy, you're choosing a differ...
  • 4/22/2024 12:00:00 AM

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Military Family Life Counselor (Child Development Center)
  • Leidos
  • Lompoc, CA
  • Description Leidos is hiring licensed behavioral health professionals to join our Child and Youth Behavioral, Military a...
  • 3/29/2024 12:00:00 AM

Lompoc (/ˈlɒmpoʊk/, LOM-poke) (Purisimeño: Lompo', "Stagnant Water" ; Spanish: Lumpoco) is a city in Santa Barbara County, California, on the west coast of the United States. The city was incorporated on August 13, 1888. The population was 42,434 at the 2010 census, up from 41,103 at the 2000 census. Before European settlers arrived, the area around Lompoc was inhabited by the Chumash people. The name of the city is derived from a Purisimeño term, "Lum Poc", which means "stagnant waters" or "lagoon". The Spanish called it "Lumpoco". In 1837, the Mexican government sold the area as the Rancho L...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$95,974 to $117,152
Lompoc, California 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