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)

W
Estimator - Project Manager
  • West Techs Chill Water Specialist
  • Abilene, TX FULL_TIME
  • West Techs Chill Water Specialists (West Techs) is looking for the best and brightest in the market to join our high performing team. As a result of our unparalleled customer service and unique offerings our business is experiencing impressive growth and with growth comes great opportunity for those with the ambition to accomplish great things. A career at West Techs is not just a job but an opportunity to join a family of people who care about each other and care about their customers. It's no wonder our business and our team are growing.


    West Techs is looking for a Project Manager to join our high performing team. This role will provide overall management direction for a project or group of projects and will perform additional duties that include procuring equipment and subcontracts, monitoring and accurately projecting job costs, maintaining billing and schedules and providing technical support and leadership to the field. Additional responsibilities include providing production oversight with the project's Superintendent on the day-today activities of assigned projects. The Project Manager will also develop and maintain long term customer relationships to foster better communications and develop future work.


    Job Description

    • This role will provide overall management direction for a project or group of projects and will perform additional duties that include procuring equipment and subcontracts, monitoring and accurately projecting job costs, maintaining billing and schedules and providing technical support and leadership to the field. Additional responsibilities include providing production oversight with the project's Superintendent on the day-to-day activities of assigned projects. The Project Manager will also develop and maintain long term customer relationships to foster better communications and develop future work.
    • Ultimately responsible for quality projects being built on time and within budget
    • Reviews project estimates and verifies accuracy of entry into job cost system as well as accuracy of initial estimate.
    • Conducts pre-job and continuing planning meetings to ensure all project team members understand contract terms and conditions, clauses, schedules or any unusual requirements of the project.
    • Documents planning meeting results and ensures all action items are completed. Develops and keeps current all project schedules.
    • Monitors personnel manning schedules to ensure they match project schedules.
    • Establishes and executes subcontract and equipment buyouts to support schedules and funding.
    • Visits job sites or onsite offices daily. Performs work inspections, checks job progress, and resolves project and contract issues.
    • Investigates potentially serious job issues and implements corrective measures
    • Stays on top of all scope changes to ensure they are processed and incorporated into the current scope of work in a timely manner.
    • Provides material takeoff, estimate and pricing for changes to work scope
    • Conducts and attends ends job meetings according to customer and company guidelines and schedules.

    Requirements

    • 5 years minimum of relevant work experience managing mechanical construction projects is required. Renovation work experience is a plus
    • Negotiating experience in construction change orders and project presentations is required
    • Ability to solve complex, multi-faceted problems using various problem-solving techniques
    • Good written and oral communications skills and polished presentation skills
    • Ability to interpret contractual documents, plans, specifcations, schematic diagrams and isometric drawings
    • Proficiency at both technical and business letter writing
    • Proficiency with computerized job cost accounting systems
    • Proficiency utilizing the Microsoft Office suite, with testable skill at the intermediate level in Excel a minimum
    • Understanding of financial models used in fixed price, cost plus and unit rate/price contracting
    • Normally works out of a job trailer or at an on-site/offsite office setting. Walks the jobsite on a regular basis and as a result requires the ability to physically negotiate the hazards of a new project worksite/work areas (e.g. uneven surfaces, floor openings, heights, installation debris and poor lighting).
    • Ability to be reasonably on-call as necessary to support the on-going 24/7 operations of our clients which may include evenings, weekends and some holidays
    • Ability to be on the job site daily to check progress, inspect work and conduct meetings to resolve issue

    Benefits

    • Vacation
    • Paid Holidays
    • Career Advancement & Training Opportunities
    • Technician tool account
    • Medical Insurance
    • Dental Insurance
    • Vision Insurance
    • 401K
  • 26 Days Ago

H
Medical record specialist
  • 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 / C...
  • 4 Days Ago

C
Medical Front Office Specialist
  • Cross Timbers Health Clinic Inc. dba AccelHealth
  • Brownwood, TX FULL_TIME
  • Provides professional customer service by scheduling patients’ appointments, verifying insurances, identifying, responding to and often communicating patients’ needs to nurses and practitioners accord...
  • 14 Days Ago

H
Medical Records Specialist
  • 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

H
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...
  • 5 Days Ago

M
Medical assistant
  • My Medical Career
  • Abilene, TX FULL_TIME
  • Interested in online medical assisting training? My Medical Career can help! Rapid ONLINE Medical Assistant Training National Accreditation You Can Count On Financial Aid Assistance* Career Placement ...
  • 4 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Abilene, TX area

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
$80,703 to $98,511
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