6 jobs found in Bellaire

We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Think you've got what it takes? Job Duties & Responsibilities • Assess the treatment plan, clinical information, and medical necessity of all requested services • Utilizes established criteria to appropriately review billed services within established timeframe required. • Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate. • Refers case failing medical...

Benefits: Health insurance Paid time off Vision insurance 401(k) matching Dental insurance Full-Time Medical Biller Rising Arete Mental Health Rising Arete Mental Health is growing, and we’re looking for an experienced Medical Biller to join our team immediately! We are seeking a full-time Medical Biller with hands‑on experience working in Valant EHR. Valant experience is REQUIRED for this position. Please do not apply if you have not previously worked with Valant EHR. We’re looking for someone who is dependable, detail‑oriented, and enjoys being part of a team. The ideal candidate will have a positive personality, a willingness to learn, and the flexibility to grow and adapt with our rapidly expanding company. Responsibilities Manage medical billing and insurance claims from submission through resolution Work directly in Valant EHR Follow up on unpaid, rejected, and denied claims Post insurance and patient payments accurately Review accounts and resolve billing...

We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Think you've got what it takes? Job Duties & Responsibilities Assess the treatment plan, clinical information, and medical necessity of all requested services Utilizes established criteria to appropriately review billed services within established timeframe required. Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate. Refers case failing medical necessity...

Houston Methodist is seeking an Inpatient Coder responsible for assigning ICD-10-CM/PCS codes to inpatient encounters based on documentation in the electronic medical record, ensuring accuracy and compliance with coding guidelines. Ideal candidates will hold an AHIMA credential (RHIT, RHIA or CCS) and have one year of inpatient coding experience or completion of the Coding Apprentice/Transition Program, with strong English communication and proficiency in EMR systems. #J-18808-Ljbffr

Rising Arete Mental Health is hiring a full-time Medical Biller with hands-on experience using Valant EHR to join our growing team in Texas. You will manage end-to-end billing, post payments, and follow up on denied claims within Valant EHR, ensuring accurate records and timely revenue cycle activities. We value dependable, detail-oriented team players who enjoy collaborating and are eager to learn as our organization grows. #J-18808-Ljbffr

Benefits: Health insurance Paid time off Vision insurance 401(k) matching Dental insurance Full-Time Medical Biller Rising Arete Mental Health Rising Arete Mental Health is growing, and we’re looking for an experienced Medical Biller to join our team immediately! We are seeking a full-time Medical Biller with hands-on experience working in Valant EHR. Valant experience is REQUIRED for this position. Please do not apply if you have not previously worked with Valant EHR. We’re looking for someone who is dependable, detail-oriented, and enjoys being part of a team. The ideal candidate will have a positive personality, a willingness to learn, and the flexibility to grow and adapt with our rapidly expanding company. Responsibilities Manage medical billing and insurance claims from submission through resolution Work directly in Valant EHR Follow up on unpaid, rejected, and denied claims Post insurance and patient payments accurately Review accounts and...