Medical Policy Specialist jobs in Alaska

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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Administrative Assistant
  • Denali Healthcare Specialist
  • Anchorage, AK FULL_TIME
  • Rapidly growing medical practice seeks full-time Administrative Assistant to join its team of dedicated healthcare professionals.



    Job Type/Schedule: This position is full-time requiring approximately 40 hours of work per week (Monday through Friday).



    JOB QUALIFICATIONS

    • Education: High school graduate
    • Professional appearance and demeanor; courteous, friendly, and personable
    • Excellent written and verbal communication skills; good computer skills
    • Effective organizational and time-management skills
    • Knowledgeable of basic operation of medical practice; medical terminology
    • Prior experience working in health care facility preferred


    MAJOR DUTIES AND RESPONSIBILITIES

    • Greets, welcomes and directs patients, visitors, and healthcare professionals; answers telephone calls and voice mail messages; retrieves and processes facsimiles and mail; handles correspondence
    • Schedules appointments for consultations, diagnostic procedures, and follow-up office visits
    • Registers patients; reviews office policies with patients; obtains, verifies, and updates demographic and insurance data; collects medical information from patient; gathers clinical data and medical records from referring physicians
    • Creates new patient chart for new patients; updates and files data, test reports and correspondence in patients’ charts; verifies accuracy and completeness of each patient’s chart; maintains security and

    integrity of medical records

    • Verifies patients’ insurance benefits; obtains pre-authorizations for diagnostic tests and therapeutic procedures; explains fee estimates to patient along with insurance benefits; collects copayments
    • Directs patient flow from screening and diagnostic testing through therapeutic interventions and handles any logistical matters that directly affect patient care; instructs and educates patient on clinical protocols and testing procedures pertinent to patient’s case; obtains informed consent for recommended procedures
    • Communicates with referring physician and all other health care professionals working on patient’s case to ensure continuity of care
    • Procures office and medical supplies as directed; inventories and tracks medical equipment; ensures proper care and maintenance of office and clinical equipment; ensures safe working environment.


    This position requires candidate to effectively manage and coordinate the entire patient experience from the initial encounter and patient intake through to diagnostic testing, treatment and ongoing care. Candidate is the face of the medical practice to the surrounding community as well as the conduit for communicating needs of referring physicians and their patients to the medical practice.

  • 12 Days Ago

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Marketing Representative
  • Denali Healthcare Specialist
  • Anchorage, AK FULL_TIME
  • MARKETING REPRESENTATIVE The marketing representative generates patient referrals from various sources including, but not limited to, primary care physicians, internists, family medicine physicians, n...
  • 1 Month Ago

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Qualification Specialist
  • Procare Home Medical
  • Anchorage, AK FULL_TIME
  • ProCare Home Medical is currently seeking strong team players with excellent customer service and organization skills to join our exceptional team at our Anchorage office. Our staff enjoy working with...
  • 4 Days Ago

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Medical Billing Specialist
  • Alaska Heart & Vascular Institute
  • Anchorage, AK FULL_TIME
  • Job DetailsJob LocationAnchorage Clinic - ANCHORAGE, AKDescriptionJOB TITLE: Billing SpecialistDEPARTMENT: Business OfficeGENERAL SUMMARY OF DUTIES: Responsible for filing and tracking insurance claim...
  • 4 Days Ago

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Medical Billing Specialist (Anchorage)
  • Chugachmiut
  • Anchorage, AK FULL_TIME
  • Job Code:05-24-1-015Location:AnchorageSalary:DOEOpening Date:5/25/2024Closing Date:Open Until FilledSummary:Medical Billing Specialist supports the medical billing for Chugachmiut’s medical, dental, b...
  • 4 Days Ago

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MEDICAL STAFF SERVICES SPECIALIST
  • SouthEast Alaska Regional Health Consortium (SEARHC)
  • Juneau, AK FULL_TIME
  • Pay Range$31.98 - $40.60SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priorit...
  • 10 Days Ago

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(Physician) Medical Specialist 2
  • Office for People with Developmental Disabilities
  • Thiells, NY
  • Job Description Job Description EMPLOYMENT OPPORTUNITY ANNOUNCEMENT EOA #: 23-061RR EOA DATE: March 15, 2024 REPLY BY: S...
  • 6/11/2024 12:00:00 AM

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Medical Specialist
  • U.S. Air Force Reserve
  • Position Summary Our hundreds of medical facilities around the world are only as good as the staff who run them. Providi...
  • 6/10/2024 12:00:00 AM

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Bio Medical Specialist
  • United Health Services
  • Johnson City, NY
  • Bio Medical Specialist, UHS Wilson Medical Center United Health Services is seeking a Bio Medical Specialist to join our...
  • 6/10/2024 12:00:00 AM

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Medical Specialist 2
  • State of New York
  • Tupper Lake, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

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Medical Specialist 1
  • State of New York
  • Tupper Lake, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

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Medical Specialist 2
  • State of New York
  • Thiells, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

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Medical Assistant/ Medication Specialist
  • Nidraveda PA
  • San Antonio, TX
  • Job Description Job Description We are looking for someone with a professional attitude, a dedication to healthcare, and...
  • 6/9/2024 12:00:00 AM

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Certified Medication Specialist
  • Mosaic
  • Beatrice, NE
  • Schedule: Full-Time Days, Evenings, Overnights Part-Time Evenings If making a positive impact in the lives of others is ...
  • 6/8/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$97,859 to $119,446

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