Medical Policy Specialist jobs in Mcallen, 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 Office Specialist - Urology
  • Renaissance Medical Foundation
  • Edinburg, TX FULL_TIME
  • Full-Time, Days
    DHR Health

    POSITION SUMMARY: The Medical Office Specialist is a key member of the Physician Practice and provides clinical/administrative expertise to ensure all patients receive high quality, efficient care. Team members are responsible to answer phones, register patients, verify insurance and help with billing using their best customer service skills.

    POSITION EDUCATION/QUALIFICATIONS: • High School/GED preferred • Excellent customer service skills • Computer skills required with knowledge of Microsoft Office suite • Good written and verbal communication skills required • Bilingual – English/Spanish • Minimum of (2) years receptionist experience preferred. • MOS certificate a plus • Position requires travel, valid license and car insurance, required

    RESPONSIBILITIES: • Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices. • Working the reception desk, greeting and communicating with patients and providers. • Scheduling, canceling, and rescheduling patient appointments. • Reminding patients of upcoming appointments and tracking missed appointments, no show and cancellations. • Answering multiple telephones and accurately documenting messages. • Forwarding telephone calls appropriately and following up on return calls. • Checking-in patients and properly documenting registration. • Insurance verification and verification of patient demographics. • Authorizing procedures or surgeries, as needed. • Filing or retrieving medical records and delivering to appropriate providers or departments as needed. • Filing patient and administrative files. • Copying, scanning and faxing duties. • Collecting co-pays and cash from patients, getting authorization on credit cards. • Entering charges, payments, and balancing the day in the computer. • Other duties as assigned

  • 1 Month Ago

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Human Resources Specialist III (Program and Policy Development Division)
  • The County of Hidalgo
  • Edinburg, TX FULL_TIME
  • Please apply at our Hidalgo County website: https://www.governmentjobs.com/careers/hidalgocountytx/jobs/4461539/human-resources-specialist-iii-program-and-policy-development-division?keywords=human &p...
  • 14 Days Ago

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Medical Office Specialist - Trauma Shared
  • Renaissance Medical Foundation
  • Edinburg, TX FULL_TIME
  • POSITION SUMMARY: The Medical Office Specialist is a key member of the Physician Practice and provides clinical/administrative expertise to ensure all patients receive high quality, efficient care. Te...
  • 1 Month Ago

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WASH Specialist
  • Aspen Medical
  • San Juan, TX CONTRACTOR
  • Aspen Medical has an exciting opportunity for a motivated, results-oriented Logistics Manager to partner with us in providing medical services to UN sponsored Kenyan Peacekeepers and US Government sta...
  • 1 Month Ago

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Medical Billing and Coding Specialist
  • Laredo Hearing & Balance Solutions
  • Laredo, TX FULL_TIME
  • About us Laredo Hearing & Balance Solutions has been servicing our community in Laredo, TX. for 5 years now. Our goal is to educate and serve our community with fall risk prevention and reducing the r...
  • 17 Days Ago

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Medical office specialist
  • Driscoll Children's Hospital
  • Laredo, TX FULL_TIME
  • Where compassion meets innovation and technology and our employees are family. JD Attached* General Purpose of Job : Reporting to the department manager / director, this position is responsible for th...
  • 19 Days Ago

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0 Medical Policy Specialist jobs found in Mcallen, TX area

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Senior Medical Science Liaison-Women's Healthcare Nevada Utah
  • Bayer
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 4/24/2024 12:00:00 AM

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Senior Medical Science Liaison-Women's Healthcare Nevada Utah
  • Bayer
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 4/24/2024 12:00:00 AM

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Senior Medical Science Liaison-Women's Healthcare Northern California
  • Bayer
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 4/24/2024 12:00:00 AM

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Senior Medical Science Liaison-Women's Healthcare Nevada Utah
  • Bayer
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 4/24/2024 12:00:00 AM

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Senior Medical Science Liaison-Women's Healthcare Nevada Utah
  • Bayer
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 4/24/2024 12:00:00 AM

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Senior Medical Science Liaison-Women's Healthcare Northern California
  • Bayer
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 4/24/2024 12:00:00 AM

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Senior Systems Administrator (Australia) - TS/SCI with Polygraph
  • General Dynamics Information Technology
  • General Dynamics Information Technology (GDIT) is seeking an IT Engineer with Microsoft Enterprise Systems Administrator...
  • 4/24/2024 12:00:00 AM

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Senior Systems Administrator (Australia) - TS/SCI with Polygraph
  • General Dynamics Information Technology
  • General Dynamics Information Technology (GDIT) is seeking an IT Engineer with Microsoft Enterprise Systems Administrator...
  • 4/24/2024 12:00:00 AM

McAllen is the largest city in Hidalgo County, Texas, United States, and the 22nd-most populous city in Texas. It is located at the southern tip of the state in the Rio Grande Valley. The city limits extend south to the Rio Grande, across from the Mexican city of Reynosa, and McAllen is about 70 mi (110 km) west of the Gulf of Mexico. As of 2017, McAllen’s population was estimated to be 142,696. It is the fifth-most populous metropolitan area in the state of Texas, and the binational Reynosa–McAllen metropolitan area counts a population of nearly 1.52 million. From its settlement in 1904, the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$76,922 to $93,897
Mcallen, 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