Medical Policy Specialist jobs in Youngstown, OH

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)

S
Medical Billing Specialist
  • Salem Regional Medical Center
  • Salem, OH FULL_TIME
  • SRMC Has an Exciting Opportunity for Qualified Candidates!

    Position: Full Time Medical Billing Specialist 

    Department: Patient Accounting  

    Shift: Varied, Primarily Days   

    PURPOSE

    Performs a specific operational responsibility within a functional unit within revenue cycle management including customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.

    QUALIFICATIONS

    • High School Diploma or GED required.
    • An Associate's degree may offset one year of the experience requirement.
    • A Bachelor's degree may offset the two-year experience requirement.
    • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
    • Must be able to work in a stressful environment and take appropriate action.
    • Minimum two years of experience in a patient account or financial environment.
    • Knowledge of patient accounts, which includes customer service, insurance processing, insurance verification and cash application.
    • Knowledge of additional specialized function may be required such as third party payers, Medicare processing, hospital and physician billing and pricing, CPT4/ICD code application.
    • Must have excellent verbal and communication skills.

    BENEFITS

    · Competitive wages

    · Medical/prescription insurance

    · Dental insurance

    · Vision insurance

    · Accident and critical insurance

    · Employer paid life insurance

    · 403 (b) retirement with employer matching 

    · Tuition reimbursement

    · Continuing education reimbursement

    · Cafeteria discounts

    · Employee Assistance Program

  • 6 Days Ago

E
Medical Billing Specialist
  • Eagle Medical Billing Service, LLC
  • Youngstown, OH FULL_TIME
  • ```Duties```- Assign appropriate medical codes using ICD-10 coding system- Verify patient information, insurance coverage, and billing details- Prepare and submit claims to insurance companies for rei...
  • 1 Month Ago

G
Power Generation Field Service Tech
  • Generator Specialist, Inc
  • North Lima, OH FULL_TIME
  • Power Generation Field Service Technician Description Technical specialist and primary customer support contact to diagnose and execute complex repairs on generators and components at the customer’s s...
  • Just Posted

S
Communication Specialist
  • Salem Regional Medical Center
  • Salem, OH FULL_TIME
  • SRMC Has an Exciting Opportunity for Qualified Candidates! Position: Full Time Communication Specialist Department: Information Services Shift: Varies ‍PURPOSE The primary purpose of your position as ...
  • 8 Days Ago

S
Billing Specialist
  • Salem Regional Medical Center
  • Salem, OH FULL_TIME
  • SRMC Has an Exciting Opportunity for Qualified Candidates! Position: Part Time Billing Specialist ‍ Department: Salem Home Medical Shift: Days ‍PURPOSE The purpose of your job as Salem Home Health Bil...
  • 1 Month Ago

Q
Medical Transport Specialist / Driver
  • Quest Diagnostics
  • Boardman, OH FULL_TIME
  • Overview Medical Transport Specialist / Driver - Boardman, OH - Monday-Friday 7:30AM-4:00PM (Rotational Weekends) We will provide you a career with a leader in the healthcare industry, by offering a w...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Youngstown, OH area

V
Licensed Medical Assistant
  • Vironix Health
  • Warren, OH
  • Remote Patient Monitoring, Onboarding, & Recruitment - Must work 3-4 days a week onsite in Warren, Oh This AI-Healthtech...
  • 4/26/2024 12:00:00 AM

N
CDC-A
  • New Vision Behavioral Health Services
  • Youngstown, OH
  • Job Description Job Description Initial Assessment of Needs: Case Managers will interview new clients, or parents or gua...
  • 4/26/2024 12:00:00 AM

S
Travel LPN / LVN - Correctional - $1,184 per week
  • Stability Healthcare
  • Youngstown, OH
  • OneStaff Medical is seeking a LPN / LVN Correctional for a travel job in Youngstown, Ohio. Job Description & Requirement...
  • 4/26/2024 12:00:00 AM

V
Licensed Medical Assistant
  • Vironix Health
  • Warren, OH
  • Remote Patient Monitoring, Onboarding, & Recruitment - Must work 3-4 days a week onsite in Warren, Oh This AI-Healthtech...
  • 4/25/2024 12:00:00 AM

S
FT Data Entry Specialist - Work From Home>
  • Sharecare
  • Youngstown, OH
  • [Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay - As a Data Entry Specialist you'll: Access var...
  • 4/25/2024 12:00:00 AM

H
Travel Nurse RN - Long Term Acute Care - $1,645 per week
  • Hiring Now!
  • Youngstown, OH
  • OneStaff Medical is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Youngstown, Ohio. Job Des...
  • 4/25/2024 12:00:00 AM

O
Medical Assistant
  • Oak Street Health
  • Youngstown, OH
  • Description Company: Oak Street Health Title: Medical Assistant Compensation: $20.25 HR Role Description The purpose of ...
  • 4/23/2024 12:00:00 AM

O
Delivery Specialist - Hub
  • O'Reilly Auto Parts
  • Youngstown, OH
  • Deliver parts and/or products to O'Reilly stores and DC in a safe and efficient manner. ESSENTIAL JOB FUNCTIONS Drive co...
  • 4/22/2024 12:00:00 AM

Youngstown is a city in and the county seat of Mahoning County in the U.S. state of Ohio, with small portions extending into Trumbull County. According to the 2010 Census, Youngstown had a city proper population of 66,982, while the Youngstown-Warren-Boardman, OH-PA Metropolitan Statistical Area it anchors contained 565,773 people in Mahoning and Trumbull counties in Ohio, and Mercer County in Pennsylvania. Youngstown is located on the Mahoning River, approximately 65 miles (105 km) southeast of Cleveland and 61 miles (100 km) northwest of Pittsburgh. Despite having its own media market, Young...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$83,362 to $101,758
Youngstown, Ohio 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