Medical Policy Specialist jobs in Oklahoma

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 Collections Specialist
  • RX MEDICAL LLC
  • Oklahoma, OK OTHER
  • Job Details

    Job Location:    Oklahoma City - Oklahoma City, OK
    Salary Range:    $17.00

    Description

    Are You EXCELLENT In Medical Collections?

    ZB RX Medical is urgently seeking a Part-Time Medical Collections Specialist with a strong background in solid collection results and communication. This position has the possibility of Full-Time employment as well as an hourly increase upon on a 25% recapture of delinquent medical payments.

     

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and ability required. 

     

    • Excellent written and verbal communication skills.
    • Knowledge of insurance claims and insurance terminology.
    • Ability to be appropriate in a professional manner as defined by the company’s Standards of Behavior, Policy and Procedures, and Scope of Services.
    • Understanding of Medical Insurance Aging.
    • Ability to communicate with insurance companies and follow up on outstanding insurance balances, including denial disputes, written appeals, and phone calls.
    • Strong background in monitoring claim status.
    • Strong technical ability to navigate payer websites and portals along with other various sites to conduct research.
    • Must be able to multitask.
    • Other duties as assigned by team Accounting Manager or Team Lead.

     

     

     

     

     

     

    Qualifications


    • High School Diploma.
    • 1 year of medical collection experience.
    • Strong written and verbal communication skills.

     

    We are proud to be an equal opportunity workplace and an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

  • 4 Days Ago

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Medical Collections Specialist
  • RX MEDICAL THERAPY SOLUTIONS LLC
  • Oklahoma, OK FULL_TIME
  • Are You EXCELLENT In Medical Collections? ZB RX Medical is urgently seeking a Part-Time Medical Collections Specialist with a strong background in solid collection results and communication. This posi...
  • 2 Days Ago

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Medical Device Warehouse Specialist - Tulsa, OK
  • RX MEDICAL LLC
  • Tulsa, OK OTHER
  • Job Details Level: Experienced Job Location: Tulsa - Tulsa, OK Position Type: Full Time Salary Range: $20.00 - $24.00 Hourly Job Shift: Day Operations Specialist IIAt ZB RX Medical, we encourage our e...
  • 15 Days Ago

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Family Practice physician opportunity in Northeastern Oklahoma
  • Physician&Advanced Practice Specialist-GoStaffing
  • , OK FULL_TIME
  • Great opportunity for a Family Practice Physician to work in an outpatient clinic in Northeastern Oklahoma - 45 min east of Muskogee and 1.25 hours east of Tulsa. Board Certified or Board Eligible Fam...
  • 4 Days Ago

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Appointment Setter
  • Independent Roofing Specialist
  • Bartlesville, OK CONTRACTOR,PART_TIME,TEMPORARY,FULL_TIME
  • Job duties include, but not limited to setting appointments, meeting and communicate with homeowners, following up with clients, coordinate with others in your team, and communicate with your Team Lea...
  • 8 Days Ago

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Endocrinology NP/PA opportunity in northern Oklahoma City, OK
  • Physician&Advanced Practice Specialist-GoStaffing
  • , OK FULL_TIME
  • A specialty clinic in northern Oklahoma City, OK we are working with is looking to hire an NP/PA with Endocrinology experience. Board Certified Nurse Practitioner (NP) or Physician Assistant (PA) Priv...
  • 11 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

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$83,122 to $101,458

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