Medical Policy Specialist jobs in Phoenix, AZ

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)

I
Policy Specialist
  • Infomatics Inc
  • Phoenix, AZ CONTRACTOR
  • Position: Policy Specialist

    Location: Hybrid

    Contract: 5 Months

    Position Description

    This position works as part of team writing and revising policy and procedure documents for the Division of Developmental Disabilities related to operations of the agency, services provided to the public, and compliance with contractual obligations. This position is also responsible for researching policy topics, working with subject matter experts to ensure policy and procedures are up to date and meeting the agency's needs, and cross comparing agency policy with ***policy to ensure agency policy is aligned with ***.

    Skills Required

    1. Ability to write concise formal documents following a prescribed format. 2. Ability to research and cross compare policy documents to determine differences and potentially needed changes to align the documents. 3. Ability to take information from Subject Matter Experts and document it in a prescribed policy format.

    Experience Required

    Experience writing formal documents. Experience researching complex issues.

    Experience Preferred

    Experience writing governmental or healthcare policy.

    Job Type: Contract

    Salary: Up to $26.00 per hour

    Expected hours: 40 per week

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Work setting:

    • In-person

    Work Location: In person

  • 23 Days Ago

I
Policy Specialist
  • Infinite Computing Systems
  • Phoenix, AZ FULL_TIME,CONTRACTOR
  • Policy Specialist Location - 1789 W. Jefferson Street, Phoenix, AZ, 85007 (Onsite) Pay Rate - $25/hr - $26.80/hr Skills Required:1. Ability to write concise formal documents following a prescribed for...
  • 23 Days Ago

I
Medical Billing Specialist
  • Integrated Medical Services
  • Phoenix, AZ FULL_TIME
  • ESSENTIAL FUNCTIONS Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fund...
  • 1 Day Ago

S
Medical Registration Specialist
  • Southwest Medical Imaging
  • Phoenix, AZ FULL_TIME
  • Since 1980, SMIL has evolved into the premier imaging provider in the southwest. SMIL won the 2016 Southwest Alliance for Excellence award for customer and employee satisfaction, sound management, inn...
  • 3 Days Ago

P
Medical Billing Specialist IV - Follow Up & Collections
  • PHI Air Medical
  • Phoenix, AZ FULL_TIME
  • Medical Billing Specialist IV - Follow Up & Collection - Phoenix, AZ - Sign on bonus up to $7500 Position Overview Under the direction and supervision of the Team Operational Coordinator (TOC), the Fo...
  • 1 Month Ago

S
POLICY ANALYST
  • State of Arizona
  • PHOENIX, AZ FULL_TIME
  • DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thri...
  • 14 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Phoenix, AZ area

A
Attorney - Pre-Litigation, Personal Injury
  • Ascendion
  • Phoenix, AZ
  • We are actively seeking a talented Pre-Litigation Personal Injury Attorney to join our dedicated legal team in Phoenix, ...
  • 4/26/2024 12:00:00 AM

G
Claims Examiner -Remote
  • Generis Tek Inc
  • Phoenix, AZ
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/25/2024 12:00:00 AM

D
CSRs needed as we grow in Gilbert, Peoria and Scottsdale
  • Desert Veterinary Medical Specialists PLLC
  • Gilbert, AZ
  • Job Description Job Description Job Description Desert Veterinary Medical Specialists (DVMS) is the leader in providing ...
  • 4/23/2024 12:00:00 AM

D
PT/FT Veterinary Technician Gilbert, Peoria & Scottsdale
  • Desert Veterinary Medical Specialists PLLC
  • Peoria, AZ
  • Job Description Job Description Job Description Desert Veterinary Medical Specialists is the leader in providing interna...
  • 4/23/2024 12:00:00 AM

D
PT/FT Veterinary Technician Gilbert, Peoria & Scottsdale
  • Desert Veterinary Medical Specialists PLLC
  • Gilbert, AZ
  • Job Description Job Description Job Description Desert Veterinary Medical Specialists is the leader in providing interna...
  • 4/23/2024 12:00:00 AM

D
PT/FT Veterinary Technician Gilbert, Peoria & Scottsdale
  • Desert Veterinary Medical Specialists PLLC
  • Scottsdale, AZ
  • Job Description Job Description Job Description Desert Veterinary Medical Specialists is the leader in providing interna...
  • 4/23/2024 12:00:00 AM

G
Claims Examiner –Remote
  • Generis Tek Inc
  • Phoenix, AZ
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/23/2024 12:00:00 AM

A
Attorney - Pre-Litigation, Personal Injury
  • Ascendion
  • Phoenix, AZ
  • We are actively seeking a talented Pre-Litigation Personal Injury Attorney to join our dedicated legal team in Phoenix, ...
  • 4/22/2024 12:00:00 AM

Phoenix is in the southwestern United States, in the south-central portion of Arizona; about halfway between Tucson to the southeast and Flagstaff to the north. By car, the city is approximately 150 miles (240 kilometers) north of the US-Mexico border at Sonoyta and 180 mi (290 km) north of the border at Nogales. The metropolitan area is known as the "Valley of the Sun" due to its location in the Salt River Valley. It lies at a mean elevation of 1,086 feet (331 m), in the northern reaches of the Sonoran Desert. Other than the mountains in and around the city, the topography of Phoenix is gener...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$88,371 to $107,872
Phoenix, Arizona area prices
were up 2.2% 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