Medical Policy Specialist jobs in Waco, TX

URS Medical, in collaboration with Pediatric Home Service, is a friendly and professional leader in home health industry with a singular passion for and commitment to taking care of the child. As a leader in home health care, we help kids achieve their best lives at home and in their communities while providing our employees a fun and rewarding place to work.

• Position: Supporting Documentation Specialist
• Location: Hybrid (Texas Residents Only)
• Hours: Monday-Friday 8am-5pm

We are looking for a full time (40 hours a week) Supporting Documentation Specialist to join our exceptional customer service team who is committed to helping our patients thrive. Our Customer Service department is a fast-paced, high-energy environment and you’ll find yourself challenged and required to use critical thinking every day through a variety of in-person, email and phone conversations. You will also be surrounded by a close-knit and supportive group who all have the same dedication to serving medically complex children and their families.

Some of the critical tasks include:

• Obtaining prior authorizations and statements of medical necessity
• Maintaining of patient records
• Patient supply & service orders
• Collaborate with referrals to create and streamline supporting documentation
• Ensure accuracy of supporting documentation to meet compliance and regulatory requirements

The qualified candidate will have experience in working with providers on obtaining title 19, statements of medical necessity, etc.… for durable medical equipment and services. You’ll also need to have exceptional organizational, multi-tasking, problem solving and communication skills. A high level of initiative combined with a customer service mentality is required. Brightree EHR experience is a plus!

We offer outstanding wages plus first-class benefits including:

• Holiday Pay
• Paid Time Off
• Health and Dental insurance
• Short & Long-Term Disability and Life Insurance
• 401K with match & educational benefits

Interested candidates should apply online, please include cover letter & resume along with salary requirements in your application.

We look forward to learning more about you & the skills you can bring to Pediatric Home Service!

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance.