Medical Policy Specialist jobs in Houston, 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 Specialist
  • APS Medical Billing
  • Houston, TX FULL_TIME
  • Medical Billing Specialist

    • Fully Remote Weekends Off Opportunities for Growth

    APS Medical Billing, located in Toledo Ohio, is seeking experienced Medical Billers to join our billing team. Beginning service in 1960, APS has grown into one of the premier billing companies, currently billing for over 250 client locations throughout the United States.

    Responsibilities

    • Follow up on unresolved claims within the standard billing cycle
    • Investigate, identify, research, and appeal denied claims
    • Ensure accuracy and quality work on a day-to-day basis
    • Reliably meet deadlines in a high-volume setting

    Qualifications

    • Minimum 3 years of medical billing experience
    • Strong medical billing A/R follow-up
    • Experience with UB-04 billing
    • Production-based focus, highly organized, and detail-oriented
    • Ability to work in a fast-paced and rapidly changing environment
    • Understanding of medical terminology, medical billing practices, and billing reimbursement is essential
    • Familiar with billing guidelines and regulations in various states; across government and non-government insurance carriers
    • Strong computer and typing skills as well as insurance website/portal navigation

    Benefits Package includes

    • Paid Time Off
    • Medical plan
    • Health Savings Account
    • Alight – Personal Health Care Advisor
    • Dental, Vision, Life Insurance, 401K
    • Paid holidays
    • EAP - Employee Assistance Program

    We are an Equal Opportunity Employer committed to a diverse workforce. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability.

    Job Type: Full-time

    Pay: $17.00 - $25.00 per hour

    Expected hours: 40 per week

    Benefits:

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

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • Remote

    Experience:

    • Medical billing: 3 years (Preferred)

    Work Location: Remote

  • 10 Days Ago

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Medical Coding and Billing Specialist
  • Kingspoint Medical Imaging
  • Houston, TX FULL_TIME
  • Responsibilities:- Review and analyze medical records and documentation to ensure accurate coding and billing- Assign appropriate medical codes using ICD-10 and/or ICD-9 coding systems- Verify patient...
  • 14 Days Ago

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Medical Office Specialist
  • Tomball Regional Medical Center
  • Tomball, TX FULL_TIME
  • Introduction Do you want to join an organization that invests in you as a(an) Medical Office Specialist? At Tomball Regional Medical Center, you come first. HCA Healthcare has committed up to $300 mil...
  • 4 Days Ago

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Laboratory Medical Billing Specialist
  • Genesis Medical Group
  • Spring, TX FULL_TIME
  • Genesis Medical Group is a multi-specialty practice that strives to provide the best possible care to all patients in a caring and compassionate environment. Genesis is seeking a Full-Time billing can...
  • 7 Days Ago

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Medical Biller and Coder Specialist-scribes
  • Sugarland Geriatrics & Medical Associates
  • Sugar, TX FULL_TIME
  • About us sugarland geriatrics & medical associates is a small business in HEALTH_CARE_MEDICAL in Sugar Land, TX. We are professional, agile and professional. Our work environment includes: Modern offi...
  • 24 Days Ago

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Medical Billing Coordinator - Appeal's Specialist
  • Omega Medical Billing
  • Webster, TX FULL_TIME
  • Medical Billing Coordinator Appeal’s specialist The Appeal’s specialist will report to the team leader for the group and/or the billing and collection manager. Job Overview: This position will require...
  • 25 Days Ago

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0 Medical Policy Specialist jobs found in Houston, TX area

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Medical Collections Specialist
  • The Reserves Network, Inc.
  • Houston, TX
  • Medical Collections Specialist. Zip Code: Houston, TX 77040 | Location: Northwest Houston. Employment Type: Temp-to-hire...
  • 4/18/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • Houston, TX
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/18/2024 12:00:00 AM

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Physician Assistant - Humble - Physician Assistant
  • Texas ENT
  • Humble, TX
  • Physician Assistant - Humble Job Summary/Objective: The Physician Assistant (PA) will provide health care services to pa...
  • 4/18/2024 12:00:00 AM

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Bodily Injury Adjuster Bilingual
  • Constitution General Agency Llc
  • Houston, TX
  • Job Description Job Description Benefits: life insurance Dental insurance Health insurance Paid time off Vision insuranc...
  • 4/16/2024 12:00:00 AM

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Medical Biller and Coder
  • MET Healthcare Solutions
  • Houston, TX
  • Job Description Job Description We are seeking a detail-oriented and organized medical biller and coder to join our grow...
  • 4/16/2024 12:00:00 AM

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Physician Assistant - Humble
  • Elevate ENT Partners
  • Humble, TX
  • Job Description Job Description Job Summary/Objective: The Physician Assistant (PA) will provide health care services to...
  • 4/16/2024 12:00:00 AM

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Physician - PT
  • STG International
  • Houston, TX
  • STGi provides detention health care services including medical, dental, and behavioral health to individuals in custody ...
  • 4/14/2024 12:00:00 AM

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Healthcare Administrative Assistant
  • MET Healthcare Solutions
  • Houston, TX
  • Job Description Job Description We are looking for an enthusiastic individual to support the executives of our company i...
  • 4/14/2024 12:00:00 AM

Houston is located 165 miles (266 km) east of Austin, 88 miles (142 km) west of the Louisiana border, and 250 miles (400 km) south of Dallas. The city has a total area of 627 square miles (1,620 km2); this comprises 599.59 square miles (1,552.9 km2) of land and 22.3 square miles (58 km2) covered by water. The Piney Woods are north of Houston. Most of Houston is located on the gulf coastal plain, and its vegetation is classified as temperate grassland and forest. Much of the city was built on forested land, marshes, swamp, or prairie and are all still visible in surrounding areas.[citation need...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$89,713 to $109,510
Houston, Texas area prices
were up 2.3% 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