Medical Policy Specialist jobs in Pittsburgh, PA

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)

T
Lawn Specialist
  • TruGreen - Lawn Specialist
  • Cranberry Twp, PA FULL_TIME
  • TruGreen is Now Hiring Lawn Specialists

    Earn Up to $22.00 per Hour - Comprehensive Benefits

    At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen is a career full of new opportunities to learn and take pride in your work. #BeTruGreen and find yourself with a satisfying and rewarding career

    Benefits:

    • Earn $ $22.00 per hour
    • Average income is $850 - $1,200 per week* - Based on hourly rate and average bonuses earned for qualifying specialists meeting performance expectations
    • A job that keeps it interesting—no two days are alike, and you get to work outside instead of inside a stuffy office
    • Awesome teammates who are dedicated to our values, customers, lawn science, and YOU
    • Affordable medical and prescription drug plans
    • Financial health resources, including 401k
    • Training & Development
    • Paid Time Off/Sick Leave

    Job Description:

    You are a TruGreen ambassador, responsible for creating positive relationships between our customers and our products. You help our customers live life outside.

    • Administer timely lawn applications
    • Diagnose and correct customer problems through service calls and other communications
    • Recommend and sell products and service information to new and existing customers, resulting in the growth of our customer base
    • Complete production reports, new sales forms, customer invoice forms, daily vehicle inspection reports, and cancel/skip notices

    About TruGreen:

    As America's number one lawn care company, TruGreen is dedicated to using our science-based expertise and local experience to create beautiful, healthy properties across the nation. Through our lawn and tree & shrub services, we help improve the health and beauty of outdoor spaces everywhere, so people can live life outside.

    Requirements:

    • The ability to speak, read, and write fluently in English is required
    • You MUST BE physically located in the United States while performing this job
    • All positions require a valid driver's license and some may require appropriate state/local licensing

    We are an Equal Opportunity/Affirmative Action Employer - Minorities/Females/Protected Veterans/Individuals with Disabilities.

  • Just Posted

T
Residential Lawn Specialist
  • TruGreen - Lawn Specialist
  • Cranberry Twp, PA FULL_TIME
  • TruGreen is Now Hiring Lawn Specialists*Earn Up to $22.00 per Hour - Comprehensive Benefits(*All positions require a valid driver's license and some may require appropriate state/local licensing)At Tr...
  • Just Posted

T
Lawn Specialist - Start at $18/Hour + Great Benefis
  • TruGreen - Lawn Specialist - Monroeville, PA
  • Mc Kees Rocks, PA FULL_TIME
  • TruGreen is Hiring Residential Lawn Specialists Immediate Openings in Monroeville, PA At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with...
  • 23 Days Ago

R
Orthodontic Assistant
  • Rhoads Orthodontic Specialist
  • Cranberry, PA FULL_TIME
  • We are adding a Clinical Assistant to our team at Rhoads Orthodontics! (Orthodontic/dental experience is not necessary, but preferred.) We are looking for an enthusiastic, customer service-oriented in...
  • 12 Days Ago

F
Tree climber/Arborist
  • FREY TREE SPECIALIST INC.
  • Smithfield, PA FULL_TIME
  • Requires tree climbing and rigging experience, bucket truck experience. A valid clean drivers license is preferred. A CDL is a big plus. Experience driving non CDL bucket, dump, and chip trucks. We ar...
  • 2 Months Ago

Z
Reorder Specialist
  • Zoll Medical Corporation
  • Pittsburgh, PA FULL_TIME
  • Reorder Specialist Location: Pittsburgh, PA, United States of America Cardiac Management Solutions The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect an...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Pittsburgh, PA area

C
Registered Nurse - PA Thrive (Erie Office)
  • California University of Pennsylvania
  • California, PA
  • The HIV/HCV and Sexually Transmitted Infection Nurse specialist will work under the direction of the Supervisor of Clini...
  • 3/28/2024 12:00:00 AM

I
Head of Demand Generation - Outside Sales - Treatspace
  • Innovation Works, Inc.
  • Pittsburgh, PA
  • Treatspace is a growing SaaS healthcare technology company that is disrupting and improving every day, critical healthca...
  • 3/28/2024 12:00:00 AM

P
Sr. Business Analyst- Regulatory Reporting
  • PNC Financial Services Group, Inc.
  • Pittsburgh, PA
  • Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. ...
  • 3/28/2024 12:00:00 AM

N
Metrics Specialist (Data Scientist III) - Remote
  • Net Health
  • Pittsburgh, PA
  • About Net Health Belong. Thrive. Make a Difference. Are you looking for a meaningful and satisfying career where you hav...
  • 3/28/2024 12:00:00 AM

G
Mobile Phlebotomist - PRN (as needed) - Pittsburgh, PA
  • Getlabs
  • Pittsburgh, PA
  • Getlabs is the nationwide leader for at-home diagnostics. Healthcare organizations use our all-in-one technology platfor...
  • 3/27/2024 12:00:00 AM

N
Product Manager IV - Remote
  • Net Health
  • Pittsburgh, PA
  • About Net Health Belong. Thrive. Make a Difference. Are you looking for a meaningful and satisfying career where you hav...
  • 3/27/2024 12:00:00 AM

W
OPERATIONS REPRESENTATIVE (BANKCARD)
  • Washington Financial Bank
  • Pittsburgh, PA
  • OPERATIONS REPRESENTATIVE (BANKCARD) – This job requires the ability to perform duties which support the Bankcard functi...
  • 3/27/2024 12:00:00 AM

P
Senior Technology Specialist
  • PNC
  • Pittsburgh, PA
  • Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. ...
  • 3/26/2024 12:00:00 AM

Pittsburgh (/ˈpɪtsbɜːrɡ/ PITS-burg) is a city in the Commonwealth of Pennsylvania in the United States, and is the county seat of Allegheny County. As of 2018, a population of 308,144 lives within the city limits, making it the 63rd-largest city in the U.S. The metropolitan population of 2,362,453, is the largest in both the Ohio Valley and Appalachia, the second-largest in Pennsylvania (behind Philadelphia), and the 26th-largest in the U.S. Pittsburgh is located in the south west of the state, at the confluence of the Allegheny, Monongahela, and Ohio rivers. Pittsburgh is known both as "the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$87,915 to $107,314
Pittsburgh, Pennsylvania area prices
were up 1.9% 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