Medical Policy Specialist jobs in Abilene, TX

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 and Coding Specialist
  • Abilene Dermatology & Skin Surgery Center
  • Abilene, TX FULL_TIME
  • Position Summary:

    The Medical Billing and Coding Specialist position needs to have a broad knowledge of healthcare insurance billing including CPT and ICD10 codes, preparing and submitting clean claims to insurance companies, posting both patient and insurance payments, recognizing correct insurance adjustments, following-up on insurance claim denials and appeals, and acquiring insurance authorizations. This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills, creativity, patience, and flexibility.

    Job Requirements:

    Minimum Education:

    • High school diploma or equivalent

    Minimum Work Experience:

    • 2 years previous work experience as a medical billing clerk

    Required Skills, Knowledge, and Abilities:

    • Knowledge of medical practices, terminology, and reimbursement policies
    • Skill in planning, organization and problem solving
    • Knowledge of EOBs, modifiers, ICD-10 codes, HCFAs, and authorizations/referrals
    • Excellent verbal and written communication skills
    • Ability to read, interpret and apply policies and procedures
    • Must have full understanding of insurance follow-up processes (i.e. billing collections, managed care, Medicare, Medicaid and Commercial practices), and well as interpersonal skills
    • Reliable attendance record
    • Ability to interact with patients, medical and administrative staff, and the public effectively

    Job Type: Full-time

    Pay: $17.00 - $19.00 per hour

    Benefits:

    • 401(k)
    • Health insurance
    • Paid time off

    Schedule:

    • Monday to Friday

    Application Question(s):

    • This is an in-office position. Are you able to work from the office from 7:30 a.m. to 5:00 p.m. Monday through Thursday and Friday 7:30 a.m. to noon?

    Experience:

    • medical billing: 2 years (Required)

    Ability to Relocate:

    • Abilene, TX 79606: Relocate before starting work (Required)

    Work Location: In person

  • 4 Days Ago

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RN - Medical (night shift)
  • OneStaff Medical
  • Sweetwater, TX FULL_TIME
  • OneStaff Medical is seeking a travel nurse RN Med Surg for a travel nursing job in Sweetwater, Texas. Start Date:ASAP~ Shift: 12 hours, days ~ Employment Type: Travel Medical-Surgical nurses provide d...
  • 4 Days Ago

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Medical Records Specialist, Correctional Health-Middleton Prison Unit
  • Hendrick Health
  • Abilene, TX FULL_TIME
  • JOB SUMMARY Responsible for the day-to-day functions of the medical record department. JOB REQUIREMENTS Minimum Education High School or equivalent Minimum Work Experience 1 year Required Licenses/Cer...
  • 1 Month Ago

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Veterinary Medical Officer
  • U.S. Army Medical Command
  • Dyess, TX FULL_TIME
  • This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DoD Workforce to recruit and appoint qualified candidates to positions in the competitive service. Abo...
  • 19 Days Ago

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Registered Nurse, Medical/Surgical
  • Rock Medical Group
  • San Angelo, TX CONTRACTOR
  • Medical Surgical RN - 13 Weeks 36 Hours (3X12s) - Days Position Requirements: 2 years' experience - Required BLS (AHA) - Required TX License and/or Compact - Required ***Posted By: Adam Bos*** Job Typ...
  • 1 Month Ago

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Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • SNYDER, TX FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 15 Days Ago

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0 Medical Policy Specialist jobs found in Abilene, TX area

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Medical Coder-Outpatient
  • The Arora Group
  • Abilene, TX
  • Medical Coder-Outpatient Admin Currently recruiting an ON-SITE Medical Coder-Outpatient in Abilene, Texas to provide sup...
  • 4/29/2024 12:00:00 AM

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Guest Services Specialist- Starting at $13/hr plus tips!
  • Mister Car Wash Inc.
  • Abilene, TX
  • **Guest Services Specialist- Starting at $13/hr plus tips!** TX-0291, 4002 Buffalo Gap Rd., Abilene, Texas, United State...
  • 4/29/2024 12:00:00 AM

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PRN Hospital Pharmacist
  • Cardinal Health
  • Abilene, TX
  • **_What Health System Pharmacy contributes to Cardinal Health_** Pharmacy Operations is responsible for the safe, effici...
  • 4/28/2024 12:00:00 AM

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Commercial Sales Manager
  • AutoZone, Inc.
  • Abilene, TX
  • The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM dev...
  • 4/28/2024 12:00:00 AM

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Patient Service Representative
  • U.S. Radiology Specialists
  • Abilene, TX
  • Come join our family at Gateway Diagnostic Imaging - Abilene, TX!!! Are you looking for a rewarding career providing exc...
  • 4/27/2024 12:00:00 AM

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Retail Service Specialist
  • O'Reilly Auto Parts
  • Abilene, TX
  • The Retail Service Specialist will support the Store Manager and Assistant Managers in areas of sales, customer service,...
  • 4/27/2024 12:00:00 AM

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Sales Associate - Store 273
  • Conn's, Inc.
  • Abilene, TX
  • Join the Conn's HomePlus Team! Discover Our Benefits * Competitive Pay: Kickstart your journey with a blend of guarantee...
  • 4/27/2024 12:00:00 AM

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Travel Hospice RN (Registered Nurse) in Abilene, TX - 695362
  • Medical Solutions
  • Abilene, TX
  • $1914.76-$2125.02 wk (includes wage of ~$18.82-$24.08/hr and per diems if eligible) click for benefits and other job det...
  • 4/26/2024 12:00:00 AM

Abilene is located in northeastern Taylor County. The city limits extend north into Jones County. Interstate 20 leads east 149 miles (240 km) to Fort Worth and west 148 miles (238 km) to Midland. Three U.S. highways pass through the city. US 83 runs west of the city center, leading north 24 miles (39 km) to Anson and south 55 miles (89 km) to Ballinger. US 84 runs with US 83 through the southwest part of the city but leads southeast 52 miles (84 km) to Coleman and west with I-20 40 miles (64 km) to Sweetwater. US 277 follows US 83 around the northwest side of the city and north to Anson but he...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$79,963 to $97,609
Abilene, Texas area prices
were up 1.2% from a year ago

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