Medical Policy Specialist jobs in San Antonio, 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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Certified Medical Assistant
  • Pain Specialist of America LLC
  • Seguin, TX FULL_TIME
  • Description

    Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations. We are seeking talented professionals who can support the business and help it achieve its strategic objectives.


    The Certified Medical Assistant facilitates patient care in a team-based environment. Excellent communication and customer service skills are required to provide a coordinated and high-quality customer service experience. The Medical Assistant will work with Providers and other team members to provide a broad array of patient services and can perform multiple tasks in a fast-paced environment. M-F Schedule. No Weekends. No Evenings. Must be willing to travel to nearby clinics on certain days as requested.



    Benefits:

    • Medical, Dental, Vision Insurance
    • 401k w/company match contribution
    • Paid Time Off
    • Short & Long-Term Disability
    • HSA (w/company contribution), FSA
    • Life Insurance (company paid voluntary options)
    • 11 Paid Holidays for the Year 2024
    • Employee Assistance Programs


    Detailed Responsibilities and Essential Functions

    • Prepare for the following day’s clinic appointments ensuring all required reports are available for the Provider’s review.
    • Clean and prepare examination rooms before patient appointments
    • Room patients per scheduling criteria set forth by Provider; obtain vital signs
    • Record patient information such as vital signs, quality reporting data, and changes in medical history before the Provider enters the patient’s room
    • Obtain urine and blood serum specimens from patients; package and submit to lab following the protocol set by Provider
    • Run outstanding order reports for clinic follow-up
    • Prepare medication refills for the Provider
    • Obtain prior authorizations for medications when requested
    • Assist in maintaining the medical inventory and placing orders for new materials as needed
    • Assist with patient calls
    • Maintain sample logs
    • Additional tasks assigned by management.

    Requirements


    • High school diploma or equivalent (Required)
    • Prior experience as a Medical Assistant (Required)
    • A minimum of one year of experience within the medical field (Required)
    • Must be willing to travel to nearby clinics on certain days as requested (Required)
    • Proficient in MS Word, Excel, PowerPoint, and Outlook

    Core Competencies

    • Organized and detail-oriented
    • Customer-oriented
    • Punctual and Very Reliable
    • Possesses excellent written and verbal communication skills
    • Ability to multitask in a fast-paced environment and meet deadlines.

    Physical Demands

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. This position is active and requires standing, walking, bending, kneeling, stooping, crouching, crawling, and climbing. The employee must frequently lift and/or move items over 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Applicants and new hires may request reasonable accommodations.

  • 4 Days Ago

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Certified Medical Assistant
  • Pain Specialist of America LLC
  • New, TX FULL_TIME
  • DescriptionPain Specialists of AmericaPain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations. We are seeking talented pro...
  • 2 Months Ago

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Remote Sales | 2500 to 1000 Weekly | Paid Daily
  • Term Life Specialist
  • San Antonio, TX FULL_TIME
  • Must have a high school diploma or equivalent and US ResidentReady to take control of your career, earn what you’re truly worth, and enjoy more quality time with your family? Join us and achieve the b...
  • 4 Days Ago

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Life Insurance Advisor - Avg 800 Per Sale- Work From Home
  • Term Life Specialist
  • San Antonio, TX FULL_TIME
  • About UsOur mission is to empower professionals to attain financial freedom, enabling them to not only secure their futures but also embrace and enjoy the personal lifestyle of their dreams. We are de...
  • 2 Months Ago

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Referrals Specialist
  • Gonzaba Medical Group
  • San Antonio, TX OTHER
  • Job Details Job Location: 933 Plaza MSO - Pleasanton Rd. - San Antonio, TX Position Type: Full Time Salary Range: Undisclosed Job Category: Referrals Referrals SpecialistGeneral Summary: The Referral ...
  • 3 Days Ago

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Collection Specialist
  • Gonzaba Medical Group
  • San Antonio, TX OTHER
  • Job Details Job Location: 933 Plaza MSO - Pleasanton Rd. - San Antonio, TX Salary Range: Undisclosed Job Category: Revenue Cycle DescriptionGeneral Summary: This position is primarily responsible for ...
  • 3 Days Ago

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0 Medical Policy Specialist jobs found in San Antonio, TX area

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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...
  • 12/11/2024 12:00:00 AM

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Medical Biller Collector Full Time Days Bitters Clinic
  • Tenet Health
  • San Antonio, TX
  • Job Description $4000 Sign on Bonus The Medical Biller - Medical Collector provides support functions as assigned by bil...
  • 12/11/2024 12:00:00 AM

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Medical Assistant for Vascular & Endovascular Clinic
  • Tenet Health
  • San Antonio, TX
  • Job Description $1000 Sign On Bonus Summary Medical office position responsible for providing direct nursing care in a m...
  • 12/10/2024 12:00:00 AM

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LVN LPN
  • Crystal Counseling, PLLC
  • San Antonio, TX
  • Job Description Job Description The LVN will provide direct nursing services for adults with severe and persistent menta...
  • 12/9/2024 12:00:00 AM

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Medical Assistant for Medfirst Zarzamora
  • Tenet Health
  • San Antonio, TX
  • Job Description $1000 Sign On Bonus Summary Medical office position responsible for providing direct nursing care in a m...
  • 12/9/2024 12:00:00 AM

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Client Care Coordinator - Home Care
  • Comfort Keepers
  • San Antonio, TX
  • Make more than a living! Are you looking for a rewarding career that will allow you to make someone's day, every day? Do...
  • 12/9/2024 12:00:00 AM

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Referral Coordinator for Northeast Orthopaedics & Sports Medicine
  • Tenet Health
  • San Antonio, TX
  • Job Description Summary Medical office position responsible for all referrals for the medical offices in the market Resp...
  • 12/8/2024 12:00:00 AM

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Certified Sterile Processing Tech Per Diem Rotate NBH
  • Tenet Health
  • San Antonio, TX
  • Job Description Summary The Sterile Processing Technician is responsible for task-based Sterile Processing activities. R...
  • 12/8/2024 12:00:00 AM

San Antonio (/ˌsæn ænˈtoʊnioʊ/; from Spanish, "Saint Anthony"), officially the City of San Antonio, is the seventh-most populous city in the United States, and the second-most populous city in both Texas and the Southern United States, with more than 1.5 million residents. Founded as a Spanish mission and colonial outpost in 1718, the city became the first chartered civil settlement in present-day Texas in 1731. The area was still part of the Spanish Empire, and later of the Mexican Republic. Today it is the state's oldest municipality. The city's deep history is contrasted with its rapid rec...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$86,173 to $105,188
San Antonio, 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