Medical Policy Specialist jobs in Oakland, 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)
Recently Added Medical Policy Specialist jobs
Policy Enforcement Specialist
- The Mom Project
-
Oakland, CA
FULL_TIME
-
***The salary range for this position is $20.00 - $21.38 per hour.***
Our Customer is an American financial services and digital payments company based in San Francisco, California. They’re working to help their diverse audiences — sellers, individuals, artists, fans, developers, and all the people in between — overcome barriers to access the economy.
We are seeking a Policy Enforcement Specialist on a contract basis who will support our Customer’s business needs. This role is 100% remote and candidates must be located in the Pacific Standard Time Zone .
What You’ll Do:
Review incoming Terms of Service violation complaints and take any necessary action
Review and manually process incoming data requests
Investigate and process Digital Millennium Copyright Act (DMCA) Takedown requests
Investigate Phishing Cases and action
Triage Workflows
Determine actions and coordinates the next steps
Manage and track data
Must Haves:
0-2 years of experience in a support center
Experience with Customer Support, managing ticketing systems aka Salesforce
Experience with Compliance/Policy Enforcement
Experience with copyright infringement, Terms of Service Violation Complaints, or DMCA Takedown request
Ability to multitask
Strong attention to detail
Ability to start and complete tasks
Ability to work independently
Familiarity with Google tools (Chrome, Sheets, Docs, etc) preferred
Previous use of Salesforce and Slack preferred
Education:
Bachelor’s Degree preferred
Hours & Location:
M-F, 20 hours/week. This role is 100% remote and candidates must be located in the Pacific Standard Time Zone .
Perks are available through our 3rd Party Employer of Record (Available upon completion of the waiting period for eligible engagements)
Health Benefits: Medical, Dental, Vision, 401k, FSA, Commuter Benefit Program
Please note : In order to create a safe, productive work environment, our client is requiring all contractors who plan to be onsite to be fully vaccinated according to the CDC guidelines. Prior to coming into their offices, contractors will be required to attest that they are fully vaccinated. - Just Posted
Post-Secondary Education Technical Assistance-focused Associate – Oakland, CA
- Social Policy Research Associates
-
Oakland, CA
FULL_TIME
- Social Policy Research Associates (SPR) is seeking a Technical Assistance-focused Associate for full-time employment in our Workforce and Human Services Division. We are a 100 percent employee-owned d...
- Just Posted
Junior/Assistant Specialist Insect Biology Department of Environmental Science, Policy and Management
- University of California Berkeley
-
Berkeley, CA
FULL_TIME
- Position overview Position title: Assistant Specialist, Junior Specialist Salary range: $43,000 - $63,000 Percent time: 100%, full time Anticipated start: Fall 2022 Position duration: One for one year...
- 19 Days Ago
Junior/Assistant Specialist - Forest Ecology - Department of Environmental Science, Policy, and Management
- University of California Berkeley
-
Berkeley, CA
FULL_TIME
- Position overview Position title: Junior/Assistant Specialist Salary range: The UC academic salary scales set the minimum pay determined by rank and step at appointment. See the following table(s) for...
- 7 Days Ago
Lead Policy Researcher (Associate/Full Specialist) - UC Berkeley Labor Center
- University of California Berkeley
-
Berkeley, CA
FULL_TIME
- Position overview Position title: Lead Policy Researcher Salary range: The UC academic salary scales set the minimum pay determined by rank and step at appointment. See the following table(s) for the ...
- 1 Month Ago
Associate/Full Specialist - California Policy Lab - Institute for Research on Labor and Employment
- University of California Berkeley
-
Berkeley, CA
FULL_TIME
- Position overview Position title: Researcher Salary range: $85,000 - $125,000 Percent time: 100% Anticipated start: September 2022 Position duration: Two years with the possibility of renewal based on...
- 1 Month Ago
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0 Medical Policy Specialist jobs found in Oakland, CA area
Claims Examiner –Remote
- Generis Tek Inc
-
San Jose, CA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
CNA Med Surg Tele Full Time Nights
- Tenet Health
-
San Ramon, CA
- Job Description San Ramon Regional Medical Center San Ramon Regional Medical Center began serving residents of the San R...
- 4/23/2024 12:00:00 AM
Accounts Payable/Accounts Receivable Specialist
- Ascend Talent Solutions
-
Oakland, CA
- Our client is a commercial real estate services provider actively growing its commercial portfolio in Northern Californi...
- 4/23/2024 12:00:00 AM
Hospice Nurse Associate Case Manager - Per Diem
- NorthBay Health
-
Fairfield, CA
- Job Description At NorthBay Health the Hospice - Associate Case Manager Nurse has the responsibility, accountability, an...
- 4/22/2024 12:00:00 AM
Patient Services Representative, Gen Surg Clinic (temporary, days, FF)
- NorthBay Health
-
Fairfield, CA
- Job Description At NorthBay Health the Patient Services Representative (PSR) performs general front office duties includ...
- 4/22/2024 12:00:00 AM
Learning Specialist
- Northern Light School
-
Oakland, CA
- Mission: Northern Light School (NLS) is an independent progressive school in Oakland, CA serving students in Pre-K to 8t...
- 4/22/2024 12:00:00 AM
Certified Nurse Assistant - 1600 Acute Care (Part Time, Night)
- NorthBay Health
-
Fairfield, CA
- Job Description At NorthBay Health the Certified Nursing Assistant (CNA) is responsible for the delivery of patient care...
- 4/19/2024 12:00:00 AM
Clinical Laboratory Scientist II- Per Diem NBMC
- NorthBay Health
-
Fairfield, CA
- Job Description At NorthBay Health the Clinical Laboratory Scientist II is a staff level position reporting directly to ...
- 4/19/2024 12:00:00 AM
About Oakland, California
Oakland is in the eastern region of the San Francisco Bay. In 1991 the City Hall tower was at 37°48′19″N 122°16′21″W / 37.805302°N 122.272539°W / 37.805302; -122.272539 (NAD83). (The building still exists, but like the rest of the Bay Area, it has shifted northwest perhaps 0.6 meters in the last twenty years.)
The United States Census Bureau says the city's total area is 78.0 square miles (202 km2), including 55.8 square miles (145 km2) of land and 22.2 square miles (57 km2) (28.48 percent) of water.
Oakland's highest point is near Grizzly Peak Blvd, east of Berkeley, just over 1,760 feet (...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$109,122 to $133,202
Oakland, California area prices
were up 4.5% from a year ago
were up 4.5% from a year ago
What does a Medical Policy Specialist do?
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