Medical Policy Specialist jobs in Kansas

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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Medical Office Specialist
  • Wesley Pediatric Specialist
  • Wichita, KS FULL_TIME
  • Introduction

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

    Benefits

    Wesley Pediatric Specialist, 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 Wesley Pediatric Specialist family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Medical Office Specialist to help us reach our goals. Unlock your potential!

    Job Summary and Qualifications

    Seeking a Medical Office Specialist for our practice who provides clerical expertise to ensure all patients receive high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.

    What you will do in this role:

    • Work at the reception desk, answer phones, greet and communicate with patients and
    • providers.
    • Scheduling, canceling, and rescheduling patient appointments.
    • Checking in patients and properly documenting registration.
    • Insurance verification and verification of patient demographics.
    • Filing and retrieving medical records/files.
    • Copying and faxing duties.
    • Collecting co-pays and cash from patients, getting authorization on credit cards.
    • Entering charges, payments, and balancing the day in the computer.
    • Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.
    • Perform other duties as required.
    • Must read, understand, and adhere to all Physician Services policies and procedures.
    • Practice and adhere to the Code of Conduct and Mission and Value Statement.
    • Practices certified as Patient Center Medical Home include these additional job duties:
    • Coordinates continuity of patient care with external healthcare organizations and facilities and
    • referrals from the primary care provider to a specialty care provider.
    • Participates on a team for data collection, health outcomes reporting, audits and programmatic
    • evaluation related to Patient Centered Medical Home.

    What Qualifications you will need:

    • Less than one year of experience is required, one to three years of experience is preferred.

    Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170 urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.

    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 Medical Office 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.

  • 2 Months Ago

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Medical Assistant
  • Wesley Pediatric Specialist
  • Wichita, KS FULL_TIME
  • Introduction Do you want to join an organization that invests in you as a(an) Medical Assistant? At Wesley Pediatric Specialist, you come first. HCA Healthcare has committed up to $300 million in prog...
  • 2 Months Ago

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Agricultural Borrowing Policy Specialist
  • FAO
  • Home, KS FULL_TIME
  • Organizational SettingThe Food and Agriculture Organization (FAO) is a specialized agency of the United Nations that leads international efforts to defeat hunger. Our goal is to achieve food security ...
  • 7 Days Ago

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Healthcare Policy Specialist
  • HR Partners
  • Topeka, KS FULL_TIME
  • Company: Community Care Network of Kansas Job Title: Healthcare Policy Specialist Job Classification: Full-Time, Exempt Supervisor: Policy Director Salary Range: Negotiable based on experience Schedul...
  • 10 Days Ago

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Medical Office Specialist
  • Statland Medical Group
  • Overland Park, KS FULL_TIME
  • Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Office Specialist opening with Statland Medical Group today and find o...
  • Just Posted

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Medical Office Specialist
  • Family Health Medical Group
  • Overland Park, KS FULL_TIME
  • Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Office Specialist opening with Family Health Medical Group today and f...
  • 27 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

Kansas /ˈkænzəs/ (listen) is a U.S. state in the Midwestern United States. Its capital is Topeka and its largest city is Wichita, with its most populated county being Johnson County. Kansas is bordered by Nebraska on the north; Missouri on the east; Oklahoma on the south; and Colorado on the west. Kansas is named after the Kansa Native American tribe, which inhabited the area. The tribe's name (natively kką:ze) is often said to mean "people of the (south) wind" although this was probably not the term's original meaning. For thousands of years, what is now Kansas was home to numerous and divers...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$85,548 to $104,420

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