Medical Policy Specialist jobs in Santa Barbara, CA
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
Policy Writer
- Forward Progress Staffing
-
Santa Barbara, CA
FULL_TIME
-
Benefits:
- 401(k)
- 401(k) matching
- Competitive salary
- Dental insurance
- Health insurance
Policy Writer
Great candidates will have excellent written communication skills, attention to detail, and the ability to work under tight deadlines.
We believe in transparency and fairness in our hiring process. This position's salary range is $60,000 to $75,000 annually. The actual offer, within this range, will be determined by the candidate's experience, education, skills, and the internal equity of our current team. We also offer a comprehensive benefits package, like health insurance, retirement plans, etc., to support the well-being of our employees.
Key Responsibilities:
- Develop, write, and update policies, procedures, and documentation in line with organizational objectives and regulatory standards.
- Collaborate with various departments to ensure the accuracy and relevance of policy documents.
- Conduct thorough research and analysis to support policy development and revision.
- Simplify complex information into clear, concise, and understandable documents for multiple audiences.
- Ensure all policy documents are maintained and accessible, utilizing advanced computer proficiency in Microsoft applications and other relevant software.
- Adhere to and promote quality standards in all policy documentation, continuously seeking ways to enhance efficiency and effectiveness.
- Experience as a practical policy writer.
- Experience in writing documentation and procedural materials.
- Exceptional written communication skills
- Strong capabilities in data gathering and analytics.
- Organizational awareness
- Meticulous attention to detail
***No visas or sponsorships are available for these roles.
***No C2C (Corp to Corp) opportunities.
***No 1099s - 1 Month Ago
Medical Billing Specialist
- California Retina Consultants
-
Santa Barbara, CA
FULL_TIME
- Billing Specialist Our Billing Specialist plays a crucial role by ensuring accurate and timely processing of medical claims. They are primarily responsible for handling billing and invoicing procedure...
- 15 Days Ago
Medical Claims Specialist
- TotalMed Medfi
-
Santa Barbara, CA
FULL_TIME,CONTRACTOR
- Job Title: Medical Claims Processor Location: Santa Barbara, CAShift: M-F 8a-4:30pWage: $24 an Hour Job Description: The processing involves making reasoned determinations as to eligibility for benefi...
- 6 Days Ago
Medical Receptionist
- Jackson Medical Group
-
Goleta, CA
FULL_TIME
- Busy Internal Medicine practice with several offices in South Santa Barbara County area is seeking a smart, energetic, self-starter for a full-time, front office position in a busy medical clinic. Bil...
- 28 Days Ago
Medical Scribe
- Turner Medical Arts
-
Santa Barbara, CA
PART_TIME
- ```Overview:We are seeking a skilled and detail-oriented Medical Scribe to join our team. As a Medical Scribe, you will work closely with healthcare professionals to accurately transcribe and document...
- 28 Days Ago
Medical Device Sales - Paid Internship
- Medical Sales College
-
Goleta, CA
FULL_TIME
- DescriptionMedical Device Sales - Paid InternshipLooking for a rewarding and lucrative career in the medical sales industry? Our paid Internship may be the right path for you!Here are just some of the...
- 14 Days Ago
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0 Medical Policy Specialist jobs found in Santa Barbara, CA area
Travel LTC/SNF LPN/LVN (License Practical Nurse) in Santa Barbara, CA - 696825
- Medical Solutions
-
Santa Barbara, CA
- $1247.66-$1384.76 wk (includes wage of ~$23.00-$23.00/hr and per diems if eligible) click for benefits and other job det...
- 4/23/2024 12:00:00 AM
Extra Help Court Interpreter - Mixteco
- Superior Court of California, County of Santa Barbara
-
Santa Barbara, CA
- Salary: $339.92 - $389.28 Daily Location : Santa Barbara County, CA Job Type: Extra Help (temporary) Job Number: 2401IE ...
- 4/22/2024 12:00:00 AM
Production Specialist - 2nd Shift
- Zobility
-
Goleta, CA
- Responsibilities: A Production Specialist in Diamond Point Turning (DPT) area operates machines to make precision cuts a...
- 4/22/2024 12:00:00 AM
Cannabis Processing Specialist
- Viridian Staffing
-
Santa Barbara, CA
- Job Description Viridian Staffing's (www.viridianstaffing.com) Client is looking for Temporary Processing Specialists to...
- 4/21/2024 12:00:00 AM
Information System Specialist
- Santa Barbara City College
-
Santa Barbara, CA
- Salary : $106,065.00 - $129,201.00 Annually Location : Santa Barbara, CA Job Type: Classified Staff Job Number: 124 Depa...
- 4/20/2024 12:00:00 AM
Production Specialist
- Raytheon Technologies
-
Goleta, CA
- Date Posted: 2024-04-10 Country: United States of America Location: CA749: Goleta 44 Castilian Bldg B08 44 Castilian Dri...
- 4/20/2024 12:00:00 AM
Registered Nurse Specialist - Pediatrics
- Sansum Clinic
-
Santa Barbara, CA
- Job Description The Registered Nurse Specialist will be working in the specified department with other healthcare profes...
- 4/19/2024 12:00:00 AM
Extra Help Court Interpreter - Spanish
- Superior Court of California, County of Santa Barbara
-
Santa Barbara, CA
- Salary: $339.92 - $389.28 Daily Location : Santa Barbara County, CA Job Type: Extra Help (temporary) Job Number: 2401CIS...
- 4/18/2024 12:00:00 AM
About Santa Barbara, California
Santa Barbara (Spanish: Santa Bárbara) is the county seat of Santa Barbara County in the U.S. state of California. Situated on a south-facing section of coastline, the longest such section on the West Coast of the United States, the city lies between the steeply rising Santa Ynez Mountains and the Pacific Ocean. Santa Barbara's climate is often described as Mediterranean, and the city has been promoted as the "American Riviera". As of 2014, the city had an estimated population of 91,196, up from 88,410 in 2010, making it the second most populous city in the county after Santa Maria. The contig...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$96,600 to $117,917
Santa Barbara, California area prices
were up 2.5% from a year ago
were up 2.5% from a year ago
What does a Medical Policy Specialist do?
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