Medical Policy Specialist jobs in Springfield, MO

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)

J
Policy Specialist
  • Jencap
  • Springfield, MO FULL_TIME
  • Why Jencap? We are one of the largest wholesale insurance intermediaries in the United States with expertise in wholesale brokerage, binding authority, and program management. The common thread woven throughout our success story is our collaborative and driven team of people. Our teams are empowered and work to together to find solutions. We have a passion culture – with teamwork, collaboration and a focus on growing individuals and giving them the tools & development opportunities to have a successful career.

    The Policy Specialist (Garage Department) provides support to Account Executives and Producers by processing policies and endorsements; and entering new business submissions into Jencap's agency management system. They work closely with hundreds of accounts, making sure each policy and endorsement is accurate and sent out in a timely manner, meeting our carriers' expectations and guidelines.

    Responsibilities:

    • Work closely with Underwriting Assistants and Renewal Underwriters to help issue endorsements
    • Reviewing and analyzing insurance policies for accuracy and completeness
    • Processing insurance claims efficiently and accurately
    • Keeping abreast of industry standards, regulations, and changes in insurance policies
    • Supporting team members and fostering a positive work environment

    Requirements:

    • Ability to effectively prioritize & multi-task with a sense of urgency
    • Familiarity with extensive insurance terminology
    • Familiarity with coverage forms of Garage policies
    • Working knowledge of various carrier rating systems
    • Strong Organizational & Time Management Skills
    • Energetic & Positive Attitude
    • Good phone and customer service skills
    • Proficient computer skills
    • Pays attention to detail
    • Ability to produce quality work that is accurate, thorough, & neat
    • Demonstrate proper judgement & decision-making skills
    • Receptive to new/alternative ideas & willing to modify an approach &/or adapt to changing circumstances
    • Possess critical-thinking skills

  • 1 Month Ago

A
Policy Assembly Specialist
  • American National Family of Companies
  • Springfield, MO FULL_TIME
  • Policy Assembly Specialist American National is seeking a full-time, Policy Assembly Specialist team member. To be successful in this position you should enjoy detailed, routine processes, as you will...
  • 1 Month Ago

S
Medical Biller and Collection Specialist
  • Springfield Family Medical Walk-in Clinics Inc
  • Springfield, MO FULL_TIME
  • We are looking for a skilled and experienced medical biller/collector who can effectively and consistently generate revenue through professional billing practices through proper and ethical collection...
  • 27 Days Ago

G
Medical Billing - Revenue Cycle - Appeal-Medicare Follow Up Specialist - Remote
  • Global Medical Response
  • Plains, MO FULL_TIME
  • Medical Billing - Appeal - Medicare Follow Up SpecialistRemote or On-SiteStarting Pay $18.00 Job SummaryThe Appeal - Medicare Follow Up Specialist will follow up on the status of appeals with Medicare...
  • 25 Days Ago

M
Crisis Specialist
  • Medical Advantage Recruiters
  • Joplin, MO FULL_TIME
  • Crisis Specialist (Out-Patient Clinic Setting) 12/hour shift Schedule Nights (Joplin, MO)--Full Time 7p-7a We are seeking a Crisis Counselor (Night Shift) 3/12 hour shifts to work in a Behavioral Heal...
  • 8 Days Ago

C
Billing Specialist
  • Central Ozarks Medical Center
  • Richland, MO FULL_TIME
  • We are expanding our team to serve the needs of our community in the Lake of the Ozarks, Missouri area! Central Ozarks Medical Center (COMC) is excited to announce an opening for a Billing Specialist!...
  • 13 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Springfield, MO area

H
Licensed Dental Hygienist
  • Hiring Now!
  • Springfield, MO
  • Dental Hygienist MY DENTIST-SPRINGFIELD is looking for a Dental Hygienist to join our team. Full-time or Part-time Flexi...
  • 4/24/2024 12:00:00 AM

H
Travel Physical Therapist - $2,521 per week
  • Hiring Now!
  • Springfield, MO
  • Solomon Page is seeking a travel Physical Therapist for a travel job in Springfield, Missouri. Job Description & Require...
  • 4/24/2024 12:00:00 AM

H
Travel Ultrasound Technologist - $2,680 per week
  • Hiring Now!
  • Springfield, MO
  • Solomon Page is seeking a travel Ultrasound Technologist for a travel job in Springfield, Missouri. Job Description & Re...
  • 4/24/2024 12:00:00 AM

S
Travel Ultrasound Technologist - $2,319 per week
  • Stability Healthcare
  • Springfield, MO
  • OneStaff Medical is seeking a travel Ultrasound Technologist for a travel job in Springfield, Missouri. Job Description ...
  • 4/24/2024 12:00:00 AM

H
Travel Nurse RN - Long Term Acute Care - $2,442 per week
  • Hiring Now!
  • Springfield, MO
  • Solomon Page is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Springfield, Missouri. Job De...
  • 4/24/2024 12:00:00 AM

T
Travel Nurse RN - ICU - Intensive Care Unit - $2,143 per week
  • TRS Healthcare
  • Springfield, MO
  • Solomon Page is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Springfield, Missouri. J...
  • 4/24/2024 12:00:00 AM

H
Travel Nurse RN - ICU - Intensive Care Unit - $1,855 per week
  • Hiring Now!
  • Springfield, MO
  • RNnetwork is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Springfield, Missouri. Job ...
  • 4/24/2024 12:00:00 AM

T
Travel Nurse RN - ICU - Intensive Care Unit - $1,920 per week
  • TRS Healthcare
  • Springfield, MO
  • Travel Nurses, Inc. is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Springfield, Miss...
  • 4/24/2024 12:00:00 AM

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$80,411 to $98,155
Springfield, Missouri area prices
were up 1.3% 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