Medical Policy Specialist jobs in Omaha, NE

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 Billing Specialist
  • APS Medical Billing
  • Omaha, NE FULL_TIME
  • Medical Billing Specialist

    • Fully Remote Weekends Off Opportunities for Growth

    APS Medical Billing, located in Toledo Ohio, is seeking experienced Medical Billers to join our billing team. Beginning service in 1960, APS has grown into one of the premier billing companies, currently billing for over 250 client locations throughout the United States.

    Responsibilities

    • Follow up on unresolved claims within the standard billing cycle
    • Investigate, identify, research, and appeal denied claims
    • Ensure accuracy and quality work on a day-to-day basis
    • Reliably meet deadlines in a high-volume setting

    Qualifications

    • Minimum 3 years of medical billing experience
    • Strong medical billing A/R follow-up
    • Experience with UB-04 billing
    • Production-based focus, highly organized, and detail-oriented
    • Ability to work in a fast-paced and rapidly changing environment
    • Understanding of medical terminology, medical billing practices, and billing reimbursement is essential
    • Familiar with billing guidelines and regulations in various states; across government and non-government insurance carriers
    • Strong computer and typing skills as well as insurance website/portal navigation

    Benefits Package includes

    • Paid Time Off
    • Medical plan
    • Health Savings Account
    • Alight – Personal Health Care Advisor
    • Dental, Vision, Life Insurance, 401K
    • Paid holidays
    • EAP - Employee Assistance Program

    We are an Equal Opportunity Employer committed to a diverse workforce. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability.

    Job Type: Full-time

    Pay: $17.00 - $25.00 per hour

    Expected hours: 40 per week

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • Remote

    Experience:

    • Medical billing: 3 years (Preferred)

    Work Location: Remote

  • 1 Month Ago

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Direct Marketing Associate
  • Genesis Global Specialist
  • Papillion, NE INTERN,FULL_TIME
  • The role of the Direct Marketing Associate is to evolve new client relationships and to be an advocate for our client's product offerings and potentials in their industries. We are looking for outgoin...
  • Just Posted

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Entry Level Sales and Marketing
  • Genesis Global Specialist
  • Omaha, NE FULL_TIME
  • Genesis Global is looking for an ambitious, driven individual to take on our Marketing/Sales Coordinator. We will provide hands-on training for the right candidate as well as the opportunity to advanc...
  • 2 Days Ago

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Automotive Painter
  • Independent Rebuild Specialist
  • Nebraska, NE FULL_TIME
  • Full job description Automotive Painter Job Description Independent Rebuild Specialist has been in business for 25 years and counting. We specialize in remanufacturing Caterpillar diesel engines. We a...
  • 3 Days Ago

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Sales Associate
  • Genesis Global Specialist
  • Omaha, NE FULL_TIME
  • Genesis Global is a direct marketing group that excels in meeting clients' needs and providing outstanding customer service. We directly represent our national clients for their in-store campaigns to ...
  • 3 Days Ago

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Payroll specialist
  • OneStaff Medical
  • Omaha, NE FULL_TIME
  • $ $46000.0 - $46000.0 Company Description : We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm looking for like-minded talent to add to our i...
  • 1 Month Ago

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0 Medical Policy Specialist jobs found in Omaha, NE area

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Nurse Practitioner Mental Health
  • Department of Veterans Affairs
  • Omaha, NE
  • Summary Welcome to the Heartland of America and the VA Nebraska-Western Iowa Health Care System. Omaha's cost of living ...
  • 3/28/2024 12:00:00 AM

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Intake Pharmacy Specialist
  • AdaptHealth
  • Omaha, NE
  • Description Position Summary: The Intake Pharmacy Specialist assists new patients with processing of orders through the ...
  • 3/28/2024 12:00:00 AM

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Registered Nurse (RN) Operating Room- Bergan Mercy Surgery Center- Part-Time
  • Surgical Care Affiliates, LLC
  • Omaha, NE
  • Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician...
  • 3/28/2024 12:00:00 AM

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Clinical Services Nurse Specialist - No Experience Required
  • American Red Cross
  • Omaha, NE
  • Please use Google Chrome or Mozilla Firefox when accessing Candidate Home. By joining the American Red Cross you will to...
  • 3/28/2024 12:00:00 AM

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Customer Advocate
  • ImageFIRST Healthcare Laundry Specialists
  • Omaha, NE
  • Overview: Founded in 1967, ImageFIRST is the largest healthcare linen rental and laundry services provider to medical fa...
  • 3/28/2024 12:00:00 AM

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Case Management Nurse - Oncology Transplant Program
  • Nebraska Medical Center
  • Omaha, NE
  • Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this pr...
  • 3/27/2024 12:00:00 AM

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Division Chief - Movement Disorders Faculty/Rank DOQ
  • University of Nebraska Medical Center
  • Omaha, NE
  • Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Affirmative Action Equal Employment Opport...
  • 3/26/2024 12:00:00 AM

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Certified Medication Aide
  • Mosaic
  • Omaha, NE
  • Schedule: Full-Time Days, Evenings, Overnights (12-Hour Shifts) If making a positive impact in the lives of others is al...
  • 3/22/2024 12:00:00 AM

Omaha (/ˈoʊməhɑː/ OH-mə-hah) is the largest city in the state of Nebraska and the county seat of Douglas County. Omaha is located in the Midwestern United States on the Missouri River, about 10 miles (15 km) north of the mouth of the Platte River. The nation's 40th-largest city, Omaha's 2018 estimated population was 466,061. Omaha is the anchor of the eight-county, bi-state Omaha-Council Bluffs metropolitan area. The Omaha Metropolitan Area is the 59th largest in the United States, with an estimated population of 944,316 (2018). The Omaha-Council Bluffs-Fremont, NE-IA Combined Statistical Are...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$84,384 to $103,004
Omaha, Nebraska area prices
were up 0.8% 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