Medical Policy Specialist jobs in Reno, NV

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
  • Pediatric Medical Practice
  • Reno, NV FULL_TIME
  • Analyze claims prior to submission to ensure accurate processing. Proactively follow up with insurance company for payment, corrected claims, and appeal processes. Work closely with Practice Manager to identify trends with charges and payments as a direct result of the insurance carrier adjudicating claims improperly. Ensure refunds are done timely and in accordance with individual insurance contracts.

    This position requires an experienced Medical Biller.

    Job Type: Full-time

    Pay: $40,000.00 - $48,000.00 per year

    Benefits:

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

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Education:

    • High school or equivalent (Preferred)

    Work Location: In person

  • Just Posted

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Medical Office Specialist
  • Northern Nevada Medical Group
  • Reno, NV FULL_TIME
  • Responsibilities: ABOUT NORTHERN NEVADA MEDICAL GROUP Northern Nevada Medical Group, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. O...
  • 29 Days Ago

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Medical Office Specialist
  • Northern Nevada Medical Group
  • Fallon, NV FULL_TIME
  • Responsibilities: ABOUT NORTHERN NEVADA MEDICAL GROUP Northern Nevada Medical Group, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. O...
  • 1 Month Ago

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Referral Specialist
  • Northern Nevada Medical Group
  • Sparks, NV FULL_TIME
  • Responsibilities: ABOUT NORTHERN NEVADA MEDICAL GOUP Northern Nevada Medical Group, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. Ou...
  • 20 Days Ago

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Spine Specialist
  • Globus Medical, Inc.
  • Reno, NV FULL_TIME
  • About Us: At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of th...
  • 1 Month Ago

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AR Medical Billing Specialist
  • InnovateU
  • Reno, NV PART_TIME,FULL_TIME
  • This position is in person in the Reno area not remote work. Join our growing medical billing company. We bill for clients across the country. We bill for multi-specialty practices and use a variety o...
  • Just Posted

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0 Medical Policy Specialist jobs found in Reno, NV area

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Field Application Specialist - HammerHead
  • The Toro Company
  • Reno, NV
  • Typical Starting Pay: $80,000-$105,000, plus bonuses. What Can We Give You? Medical, Dental, Vision, 401K Matching up to...
  • 4/23/2024 12:00:00 AM

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Otorhinolaryngologist
  • Silver State Hearing & Balance
  • Reno, NV
  • Company Description Silver State Hearing & Balance is a leading healthcare provider specializing in diagnostic and preve...
  • 4/23/2024 12:00:00 AM

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Benefits Specialist
  • Greater Nevada Credit Union
  • Reno, NV
  • Greater Nevada Credit Union is looking for a dedicated team player with a passion for Helping More People Live Greater! ...
  • 4/22/2024 12:00:00 AM

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Remote Family Nurse Practitioner (Field Visits Required)
  • Molina Healthcare
  • Reno, NV
  • JOB DESCRIPTION We have an extensive training program for new Grads Molina student loan repayment program available to N...
  • 4/22/2024 12:00:00 AM

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Help Desk Specialist
  • Russell Tobin
  • Reno, NV
  • Role:Help Desk Support Location: 6884 Sierra Center Pkwy, USANV01, Reno, NV 89511, United States Rate: $20-25/-Hr on W2 ...
  • 4/21/2024 12:00:00 AM

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Otorhinolaryngologist
  • Silver State Hearing & Balance
  • Reno, NV
  • Company Description Silver State Hearing & Balance is a leading healthcare provider specializing in diagnostic and preve...
  • 4/21/2024 12:00:00 AM

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Vice President Operations
  • Sierra Executive Solutions Inc
  • Reno, NV
  • Sierra Executive Solutions, Inc. (SES) is a 3rd party search firm recruiting for a manufacturing-distribution client's E...
  • 4/21/2024 12:00:00 AM

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Attorney -Reno Med Mal
  • Quintairos Prieto Wood & Boyer P.a.
  • Reno, NV
  • Quintairos, Prieto, Wood & Boyer, P.A., is a multi-office national defense firm, is seeking Nevada licensed attorneys wi...
  • 4/21/2024 12:00:00 AM

Reno (/ˈriːnoʊ/ REE-noh) is a city in the U.S. state of Nevada, located in the northwestern part of the state, approximately 22 miles (35 km) from Lake Tahoe. Known as "The Biggest Little City in the World", Reno is known for its casino industry. It is the county seat of Washoe County. The city sits in a high desert at the foot of the Sierra Nevada and its downtown area (along with Sparks) occupies a valley informally known as the Truckee Meadows. The city is named after Union Major General Jesse L. Reno, who was killed in action at the Battle of South Mountain on Fox's Gap. Reno, with an esti...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$89,892 to $109,728
Reno, Nevada area prices
were up 2.5% 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