Medical Policy Specialist jobs in Lowell, MA

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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Contracts Specialist
  • Zoll Medical Corporation
  • Chelmsford, MA FULL_TIME
  • Contracts Specialist

    Location: Chelmsford, MA, United States of America

    Resuscitation


    At ZOLL, we're passionate about improving patient outcomes and helping save lives.

    We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.

    The Resuscitation division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Our dedicated employees take pride in their commitment to improving patient outcomes while delivering world-class customer service.

    At ZOLL, you won’t just have a job. You’ll have a career—and a purpose.

    Join our team. It’s a great time to be a part of ZOLL!

    Job Summary

    Perform contract activities within Contracts Department. Provide support to Local Team Lead and Manager, North American Contract Administration, NA Sales Management, and National Accounts. Responsibilities will include responding to bids and proposals, as well as a variety of other contract activities.

    Essential Functions:

    • Responsible for development, compilation and submission of bid and proposals responses for all markets.

    • Reviews/edits proposals and ensures all proposal schedules and deadlines are met.

    • Create contracts and other contract documents Maintain Electronic files for Contracts in ZOLL's Contract Lifecycle Management Software

    • Respond to miscellaneous data/report requests

    • Review terms and conditions for compliance with ZOLL's standard policies and legal requirements and elevate to appropriate levels for review

    • Support Contracts Department, National Sales Accounts, and Senior Management, as needed

    • Complete other department projects as assigned by Contracts Manager

    Skill Requirements:

    • 2-3 years’ experience with bid submissions, and contract management required.

    • Strong analytical, organizational, communication, and attention to detail skills

    • Ability to interact with all levels within the organization

    • Strong overall computer skills - high level of proficiency with Excel, Word, databases and the internet are essential

    • Contracts and National Accounts experience

    • Experience working with Oracle and other ERP systems a plus

    • Ability to retain and recall previously introduced processes and procedures

    • Ability to prioritize work

    • Ability to work independently after training

    Education

    • Bachelor’s degree from an accredited college or equivalent combination of education and experience; equivalent combinations of education, training and experience will be considered.

    Other Duties:

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities will be reviewed periodically as duties and responsibilities change with business necessity. Essential and marginal job functions are subject to modification.


    ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.

    #LI-AD1


    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

  • 15 Days Ago

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Clinical Specialist
  • Zoll Medical Corporation
  • Chelmsford, MA FULL_TIME
  • Clinical Specialist Locations: Chelmsford, MA, United States of America; Rumford, RI, United States of America; Pawtucket, RI, United States of America; Placeholder, MD, United States of America; Pars...
  • 1 Month Ago

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Medical Laboratory Specialist
  • goarmy.com Recruiting NewEngland
  • Lowell, MA FULL_TIME
  • MEDICAL LABORATORY SPECIALIST Overview:As a Medical Laboratory Specialist, you'll have the important responsibility of caring for and aiding in the diagnosis and treatment of the Soldiers. You’ll coll...
  • 17 Days Ago

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Medical Billing Specialist
  • LogixHealth
  • Bedford, MA FULL_TIME
  • $5,000 Signing BonusLocation: On-Site in Bedford, MAThis Role:As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting...
  • 22 Days Ago

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Medical Billing & Collections Specialist
  • Ajinomoto
  • Ayer, MA FULL_TIME
  • The Medical Billing and Collections Specialist supports the Finance organization with various duties related to billing and collection of customer accounts. The position also acts as a patient-focused...
  • 12 Days Ago

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PT Medical Billing Specialist
  • LogixHealth
  • Bedford, MA FULL_TIME
  • Location: Remote in AL, FL, GA, MA, MI, MO, NC, NH, OH, OK, TN, TX, and WV Purpose Process all denied and unpaid claims submitted to insurance carriers to ensure payment is received. Duties and Respon...
  • 12 Days Ago

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0 Medical Policy Specialist jobs found in Lowell, MA area

Lowell is a city in the U.S. Commonwealth of Massachusetts. Located in Middlesex County, Lowell (along with Cambridge) was a county seat until Massachusetts disbanded county government in 1999. With an estimated population of 109,945 in 2014, it is the fourth-largest city in Massachusetts, and the second-largest in the Boston metropolitan statistical area. The city is also part of a smaller Massachusetts statistical area called Greater Lowell, as well as New England's Merrimack Valley region. Incorporated in 1826 to serve as a mill town, Lowell was named after Francis Cabot Lowell, a local fi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$97,584 to $119,118
Lowell, Massachusetts area prices
were up 1.6% 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