Medical Policy Specialist jobs in Idaho

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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Virtual Medical Collections Specialist
  • West Valley Medical Center
  • Caldwell, ID FULL_TIME
  • Hourly Wage Estimate: $15.00 - $22.50 / hour
    Learn more about the benefits offered for this job.

    The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

    Introduction

    Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Collections Specialist with Parallon you can be a part of an organization that is devoted to giving back!

    Benefits

    Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

    • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
    • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
    • Free counseling services and resources for emotional, physical and financial wellbeing
    • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
    • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
    • Family support through fertility and family building benefits with Progyny and adoption assistance.
    • Referral services for child, elder and pet care, home and auto repair, event planning and more
    • Consumer discounts through Abenity and Consumer Discounts
    • Retirement readiness, rollover assistance services and preferred banking partnerships
    • Education assistance (tuition, student loan, certification support, dependent scholarships)
    • Colleague recognition program
    • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
    • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

    Learn more about Employee Benefits

    Note: Eligibility for benefits may vary by location.


    Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Collections Specialist to help us reach our goals. Unlock your potential!

    Job Summary and Qualifications


    As a Collections Specialist you will be responsible for outbound calls with account follow-up and resolution of patient receivables. You will be responsible for transferring calls to the appropriate team members. You will provide excellent customer service. This is a virtual role.


    What you will do in this role:


    • Referring calls/accounts to appropriate parties based on customer inquiries. You will spend 90% of your day on the phone.
    • Identify problem accounts and escalate as appropriate.
    • Update the patient account record to identify actions taken on the account.
    • Work with patients and guarantors to secure payment on outstanding account balances.
    • Maintain minimum production standards.
    • Achieve passing quality review scores per unit requirements.
    • Produce acceptable unit collection volumes.
    • Work within company attendance guidelines.
    • Provide excellent customer service.
    • Work with other team members and management in a professional manner.


    Qualifications


    • High School Graduate or GED preferred
    • Previous Call Center experience preferred
    • Minimum one-year related experience preferred, preferably in healthcare.
    • Experience with collections in healthcare revenue space is preferred.
    • This is a work from home position that requires high-speed internet with 25 MB Download and 6 MB Upload. Wifi is not permitted.
    • Ability to work uninterrupted for shift (not including breaks/lunch)
    • BILINGUAL is not required, but a plus


    Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

    HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

    "


    "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder

    Be a part of an organization that invests in you! We are reviewing applications for our Collections Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

    We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

  • 18 Days Ago

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Cosmetic Merchandiser (2023-31313)
  • Apollo Retail Specialist
  • Boise, ID PART_TIME
  • As a cosmetic merchandiser, you’ll take on project-based work to ensure cosmetic products, graphics, and displays are visually appealing to attract and engage shoppers, build strong relationships with...
  • 4 Days Ago

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Future Opening: Telecommunications Tower Technician (Green Hand)
  • Larson Tower Specialist
  • Idaho Falls, ID FULL_TIME
  • We are seeking a motivated and eager individual to join our team as a Telecommunications Tower Technician (Green Hand). The successful candidate will be responsible for assisting senior technicians wi...
  • 7 Days Ago

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Future Opening: Experienced Top Hand
  • Larson Tower Specialist
  • Idaho Falls, ID FULL_TIME
  • Title: Telecommunications Tower Technician Level 3 (top hand)Location: Idaho We are seeking an experienced and highly skilled Telecommunications Tower Technician to join our team as a Level 3 technici...
  • 7 Days Ago

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Telecommunications Tower Technician Green Hand
  • Larson Tower Specialist
  • Idaho Falls, ID FULL_TIME
  • Benefits: SIRA matching Bonus based on performance Company parties Competitive salary Dental insurance Employee discounts Health insurance Opportunity for advancement Paid time off Profit sharing Trai...
  • 7 Days Ago

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Telecommunications Tower Technician Green Hand
  • Larson Tower Specialist
  • Boise, ID FULL_TIME
  • Benefits: SIRA matching Bonus based on performance Company parties Competitive salary Dental insurance Employee discounts Health insurance Opportunity for advancement Paid time off Profit sharing Trai...
  • 7 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

Idaho (/ˈaɪdəhoʊ/ (listen)) is a state in the northwestern region of the United States. It borders the state of Montana to the east and northeast, Wyoming to the east, Nevada and Utah to the south, and Washington and Oregon to the west. To the north, it shares a small portion of the Canadian border with the province of British Columbia. With a population of approximately 1.7 million and an area of 83,569 square miles (216,440 km2), Idaho is the 14th largest, the 12th least populous and the 7th least densely populated of the 50 U.S. states. The state's capital and largest city is Boise. Idaho p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$83,841 to $102,336

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