Medical Policy Specialist jobs in Pueblo, CO
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
- Parkview Medical Center
-
Pueblo, CO
FULL_TIME
-
Job Summary
- Understand who our customers are and what our customers expect of us.
- Be the first to respond to any customer request or need.
- Support other members of the work team in meeting customer needs.
- Be accountable for the technical and behavioral competencies of the job.
- To ensure accurate and timely verification of benefits and authorization as required by insurances.
Licensure
N/A
Registration
N/A
Certification
N/A
Education
High school graduate or equivalent required. Associates degree preferred.
Experience
Extensive experience in insurance verification and computer literacy required.
Insurance background preferred.
Job Requirements
- 1 Month Ago
- Arkansas Valley Regional Medical Center
-
La Junta, CO
FULL_TIME
- We are pleased that you are exploring employment opportunities with Arkansas Valley Regional Medical Center (AVRMC). AVRMC is located in La Junta, Colorado, just east of the Rocky Mountains. We provid...
- 9 Days Ago
- OneStaff Medical
-
ALAMOSA, CO
FULL_TIME
- We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
- 1 Month Ago
- Medical Courier Jobs Jobs Hiring
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Center, CO
FULL_TIME
- (Hiring Immediately) Part/Full-Time Medical Courier Jobs Jobs Available in Center, CO. No Experience Required.
- 24 Days Ago
- Medical Courier Jobs Jobs Hiring
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Rye, CO
FULL_TIME
- (Hiring Immediately) Part/Full-Time Medical Courier Jobs Jobs Available in Rye, CO. No Experience Required.
- 24 Days Ago
- Medical Courier Job Jobs Hiring
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Des Moines, NM
FULL_TIME
- (Hiring Immediately) Part/Full-Time Medical Courier Job Jobs Available in Des Moines, NM. No Experience Required.
- 25 Days Ago
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- Pueblo, CO
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0 Medical Policy Specialist jobs found in Pueblo, CO area
- Grifols SA
-
Pueblo, CO
- Do you want to join an international team working to improve the future of healthcare? Do you want to improve the lives ...
- 4/24/2024 12:00:00 AM
- Bank of the San Juans
-
Pueblo, CO
- About the Role: Be a Customer Service Rockstar and help us continue our legacy of service excellence! Our Customer Suppo...
- 4/23/2024 12:00:00 AM
- Hiring Now!
-
Pueblo, CO
- We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready ...
- 4/22/2024 12:00:00 AM
- Hiring Now!
-
Pueblo, CO
- Description Location: UCHealth Parkview Medical Center, US:CO:Pueblo Department: Surgery FTE: Full Time, 1.0, 80.00 hour...
- 4/20/2024 12:00:00 AM
- UCHealth
-
Pueblo, CO
- Description Location: UCHealth Parkview Medical Center, US:CO:Pueblo Department: Cath Lab FTE: Full Time, 1.0, 80.00 hou...
- 4/17/2024 12:00:00 AM
- UCHealth
-
Pueblo, CO
- Description Location: UCHealth Parkview Medical Center, US:CO:Pueblo Department: SANE Nurses FTE: PRN, 0.0, 12.00 hours ...
- 4/16/2024 12:00:00 AM
- UCHealth
-
Pueblo, CO
- Description Location: UCHealth Parkview Medical Center, US:CO:Pueblo Department: Surgery FTE: Full Time, 1.0, 80.00 hour...
- 4/4/2024 12:00:00 AM
- UCHealth
-
Pueblo, CO
- Description Location: UCHealth Parkview Medical Center, US:CO:Pueblo Department: PPW Echocardiology FTE: Full Time, 1.0,...
- 3/15/2024 12:00:00 AM
About Pueblo, Colorado
were up 2.3% from a year ago