Medical Policy Specialist jobs in Corpus Christi, 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 Insurance Billing Specialist
  • Siloe Home Health
  • Rockport, TX FULL_TIME
  • Siloe Home Health is looking for team-oriented, Medical Billing member to join our team. If you have experience in home health medical billing and are looking for a less stressful environment and want to join our office staff, please contact us today for more info!

    Job Summary
    We are seeking a skilled and detail-oriented Medical Biller to join our team. As a Medical Biller, you will be responsible for accurately coding and billing medical procedures and services. Your role will involve working with medical records, insurance companies, and healthcare providers to ensure timely and accurate reimbursement. If you have a strong understanding of medical coding systems, excellent attention to detail, and the ability to work in a fast-paced environment, we would love to hear from you.

    Job Description
    Your duties would include the following:

    • Review and analyze medical records to accurately assign appropriate codes for diagnoses, procedures, and services using ICD-10 and ICD-9 coding systems
    • Ensure that all coding is done in compliance with relevant coding guidelines and regulations
    • Verify patient insurance coverage and process claims for reimbursement
    • Communicate with insurance companies to resolve any billing discrepancies or denials
    • Collaborate with healthcare providers to obtain any necessary documentation or clarification for accurate billing
    • Maintain patient confidentiality and adhere to HIPAA regulations
    • Stay up-to-date on changes in coding guidelines and regulations

    Skills
    To excel in this role, you should have the following skills:

    • Strong knowledge of medical terminology, procedures, and diagnoses
    • Proficiency in medical coding systems (ICD-10, ICD-9)
    • Familiarity with medical billing software and electronic health record systems
    • Attention to detail and accuracy in coding and billing processes
    • Excellent communication skills, both written and verbal
    • Ability to work independently as well as collaboratively with a team
    • Strong organizational skills and ability to prioritize tasks effectively

    About Us
    Siloe Home Health has served South Texas and the Coastal Bend for almost 20 years, providing home health services to satisfied clients throughout the area. Our diverse team works closely together to provide the best care possible to our clients. If you feel you may be a good fit, please contact us today!

    If you are a motivated individual with a passion for accuracy in medical billing, we encourage you to apply for this position. We offer competitive compensation and PTO, as well as opportunities for professional growth within our organization.

    Please note that only qualified candidates will be contacted for further consideration. Thank you for your interest in joining our team as a Medical Billing Specialist.

    Job Types: Full-time, Part-time

    Pay: Starting at $18.00 per hour

    Expected hours: 40 per week

    Benefits:

    • Paid time off

    Schedule:

    • Monday to Friday

    Work setting:

    • Office

    Work Location: In person

    Job Type: Full-time

    Pay: From $18.00 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Retirement plan
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • Office

    Work Location: In person

  • 17 Days Ago

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Medical Office Specialist
  • ABC PEDIATRICS PA
  • Corpus Christi, TX FULL_TIME
  • ABC Pediatrics Pa in Corpus Christi, TX is looking for one medical office specialist to join our 27 person strong team. We are located on 3533 S Alameda Suite 303. Our ideal candidate is self-driven, ...
  • 1 Month Ago

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Medical Laboratory Technician
  • Corpus Christi Medical Center
  • Corpus Christi, TX FULL_TIME
  • Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medical Laboratory Technician with Corpus Christi Medical Center you can be a par...
  • 4 Days Ago

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Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • Corpus Christi, TX OTHER
  • 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...
  • 30 Days Ago

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Medical Courier Jobs
  • Medical Courier Jobs Jobs Hiring
  • Bayside, TX FULL_TIME
  • (Hiring Immediately) Part/Full-Time Medical Courier Jobs Jobs Available in Bayside, TX. No Experience Required.
  • 25 Days Ago

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Medical Courier Job
  • Medical Courier Job Jobs Hiring
  • Dinero, TX FULL_TIME
  • (Hiring Immediately) Part/Full-Time Medical Courier Job Jobs Available in Dinero, TX. No Experience Required.
  • 25 Days Ago

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0 Medical Policy Specialist jobs found in Corpus Christi, TX area

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Clinical Documentation Medical Professional - Clinical Documentation - Onsite
  • Christus Health
  • Corpus Christi, TX
  • Description Summary: The Clinical Documentation Medical Professional is responsible for facilitating improvement in the ...
  • 4/24/2024 12:00:00 AM

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Corpus Christi, Texas Family Medicine Job with $230k Base Pay
  • The Curare Group
  • Corpus Christi, TX
  • Family Medicine provided needed in Corpus Christi, Texas. Join a group that consists of 25 Primary Care providers, and m...
  • 4/24/2024 12:00:00 AM

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Clinical Documentation Medical Professional ON Site - Clinical Documentation
  • Christus Health
  • Corpus Christi, TX
  • Description Onsite Position Summary: The Clinical Documentation Medical Professional is responsible for facilitating imp...
  • 4/22/2024 12:00:00 AM

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Supply Chain Technician - Central Services
  • Christus Health
  • Corpus Christi, TX
  • Description Summary: Responsible for completing tasks associated with inventory control such as scanning products, picki...
  • 4/22/2024 12:00:00 AM

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EMT
  • Grifols
  • Corpus Christi, TX
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/21/2024 12:00:00 AM

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EMT / Paramedic / LVN
  • Hiring Now!
  • Corpus Christi, TX
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/20/2024 12:00:00 AM

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Sr. Commissioning Engineer
  • MYR Energy Services
  • Corpus Christi, TX
  • About the Role: The Senior Commissioning Engineer is responsible for supporting the commissioning aspects of solar PV, b...
  • 4/18/2024 12:00:00 AM

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Brand Standards, Guest Experience & Food Safety Advisor
  • EcoLab
  • Corpus Christi, TX
  • Ecolab is seeking a Brand Protection Advisor to join its EcoSure division, an industry leader in brand protection progra...
  • 4/18/2024 12:00:00 AM

Corpus Christi (/ˌkɔːrpəs ˈkrɪsti/), colloquially Corpus (Latin: Body of Christ), is a coastal city in the South Texas region of the U.S. state of Texas. The county seat of Nueces County, it also extends into Aransas, Kleberg, and San Patricio Counties. It is 130 miles southeast of San Antonio. Its political boundaries encompass Nueces Bay and Corpus Christi Bay. Its zoned boundaries include small land parcels or water inlets of three neighboring counties. The city's population was estimated to be 320,434 in 2014, making it the eighth-most populous city in Texas. The Corpus Christi metropolita...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$83,988 to $102,522
Corpus Christi, 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