Medical Policy Specialist jobs in North Dakota

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 Billing Specialist
  • Peak Partners
  • Fargo, ND FULL_TIME
  • Peak Partners is looking to add a Medical Billing Specialist to our team!

    We are looking for an experienced, dedicated, and detail-oriented individual to come alongside us to help better serve our clients. Peak Partners is a third-party medical billing company offering services in medical credentialing and billing to help small businesses succeed! If you feel you may be a good fit, please apply!

    *Duties may include:

    • Patient Accounts as in reviewing balances and answering questions regarding accounts.
    • Process incoming payments and monthly invoicing
    • Receive in-bound calls and making out-bound calls.
    • Processes claims, denials, rejections to support the revenue cycle.
    • Processes incoming remittances for client billing.
    • Conducts insurance billing claim appeals with insurance companies
    • Ensures communication within EMR is accurate and up to date for client care and billing
    • Monitors insurance code changes and communicates insurance denial trends.
    • Processes all new client information, including yet not limited to personal, insurance and financial information.
    • May Conduct insurance verification for clients with insurance providers.
    • Maintains strict client confidentiality via records, conversations and EMR system (HIPAA).
    • Uses EMR system to provide appropriate information to providers and institutions.
    • Communicate with clients and patients in a professional manner.
    • Call insurance payers to follow up on claims, denials, rejections, and aging.

    *QUALIFICATIONS* ·

    • Experience in the medical billing field
    • Understands the insurance system for appropriate client information
    • Excellent customer service skills
    • Strong communication and organizational skills
    • Knowledge of Microsoft office and phone systems
    • Reliable attendance and strict adherence to schedule

    Job Type: Full-time

    Pay: From $19.00 per hour

    Benefits:

    • Dental insurance
    • Disability insurance
    • Employee assistance program
    • Flexible schedule
    • Paid time off
    • Vision insurance

    Schedule:

    • Monday to Friday

    Work setting:

    • Office

    Experience:

    • Medical billing: 1 year (Required)

    Ability to Commute:

    • Fargo, ND 58104 (Required)

    Work Location: In person

  • 2 Days Ago

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Medical Services Specialist
  • Anne Carlsen Center
  • Jamestown, ND PART_TIME
  • Location: Jamestown, ND Shift: Monday - Friday 3:00pm - 8:00pm Job Schedule: Part Time Weekly Hours: 24 JOB SUMMARY: The Medical Service Specialist performs clerical, record keeping, receptionist, and...
  • 9 Days Ago

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Medical Administration Specialist - Health Administrative Specialist on Duty
  • US Veterans Health Administration
  • Fargo, ND FULL_TIME
  • Duties ***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** The incumbent serves as a Medical Administrative Specialis...
  • 1 Month Ago

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Medical Billing / Accounts Receivable Specialist
  • Dakota Boys & Girls Ranch
  • Minot, ND FULL_TIME
  • Dakota Boys and Girls Ranch is searching for a full-time Medical Billing / Accounts Receivable Specialist on its Minot, ND campus. The Dakota Boys and Girls Ranch is unlike any place you have worked! ...
  • 9 Days Ago

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Medical Billing Specialist - DACH (Hybrid)
  • Insulet Germany GmbH
  • Munich, ND FULL_TIME
  • Insulet started in 2000 with an idea and a mission to enable our customers to enjoy simplicity, freedom and healthier lives through the use of our Omnipod® product platform. In the last two decades we...
  • 15 Days Ago

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Aesthetic Nurse Specialist (LPN)
  • 6040 Aesthetic Medical Practice - ND PLLC
  • Fargo, ND FULL_TIME
  • 3301 45th St S, Fargo, ND 58104 | Job Type: Full Time Chapter Aesthetics is a leading medical aesthetic studio providing evidence-based, non-surgical and cosmetic treatments for people who want to liv...
  • 5 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

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$88,963 to $108,588

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