99 jobs found in Houston, TX

Job Description Job Description Medical Billing Specialist We have a dynamic opportunity for an experienced Medical Billing Specialist to join our team in a role that will support our current operations. Our ideal candidate will be responsible for maintaining industry standards for billing and filing claims with insurance as well as clinic billing. Additionally, payment posting and assistance with special projects will be part of the job duties. To be successful in this role, the candidate must be highly motivated, detailed, and self-driven individual with excellent communication and organization skills. This opening is a full-time, on-site position located in Houston Texas for National company providing remote cardiac monitoring. Job Responsibilities Verify benefits, determine if authorization is needed and process a request Create patient accounts in Athena Health software and enter charges Review Telemetry enrollments to see if insurance guidelines are met or...

Job Description Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Location: Remote (Work From Home) Job Type: Independent Contractor (1099) Schedule: Flexible | Part-Time and Full-Time Opportunities ???? About the Role Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. ???? Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims...

Job Description Job Description Description: JOB DESCRIPTION: The Medical Billing Specialist is responsible for the billing, collections, follow up and appeals of insurance claims and patient accounts. Essential to this position is the ability to manage all insurance follow up for maximum insurance reimbursement. To include outbound and inbound insurance carrier calls, reprocessing claims, drafting appeals, working denials and resolving unpaid claims. Requirements: JOB RESPONSIBILITIES/DUTIES: · Claim submission · Work assigned claim volume timely and efficiently with corporate timeframes · Actively follow-up on outstanding patient account balances, and all insurance claims using the A/R aged reports, including resolution of any billing errors. · Research, appeal, and resolve unpaid insurance claims. · Respond to correspondence from insurance carriers. · Collecting and posting payments in patient accounts · Contacting customers regarding outstanding balances ·...

Community Health Choice, Inc. (Community) is a non‑profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: Programs Medicaid State of Texas Access Reform (STAR) program for low‑income children and pregnant women Children's Health Insurance Program (CHIP) for the children of low‑income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre‑existing conditions. Community Health Choice (HMO D‑SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D...

A healthcare non-profit organization in Houston is seeking a Certified Medical Coder to lead coding tasks and ensure compliance with state and federal guidelines. The role requires strong analytical skills and significant experience in coding, with responsibilities including reviews of claims, support for appeals, and collaboration with claims operations. A CPC or CCS certification is mandatory, and preferred candidates will have experience with health plans. This position aims to improve member experiences by maintaining coding accuracy. #J-18808-Ljbffr

Job Description Job Description Medical Biller /Payment Poster | $1 7-$2 1 | Monday – Friday 8am to 5pm | Temp to Hire What Matters Most Competitive Pay of $17-$21 per hour Schedule: Monday – Friday 8am to 5pm Location: North Houston, TX Temporary-to-hire opportunity with career growth and stability Weekly Pay with direct deposit or pay card When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program Job Description One of the premier Podiatry clinics is seeking a Medical Biller to join their growing team. The ideal candidate will have hands-on experience billing claims from a superbill and posting payments accurately. This position offers the opportunity to transition into a permanent role for the right candidate. Responsibilities: Accurately bill claims using superbills Post payments and reconcile accounts Verify...

Ceris Certified Coder I Ceris is seeking a certified coder. The Ceris certified coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role. Essential functions and responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations to referring office Communicates claim status with referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Complies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintains HIPAA compliance Knowledge and skills: Ability to learn rapidly to develop knowledge and understanding of...

Explore Opportunities With Kelsey-Seybold Clinic Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing Together. In coordination with the Senior Coder, this position reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations ensures that the proper codes are on all claims prior to submission for all charges for the cancer...

Explore Opportunities With Kelsey-Seybold Clinic Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing Together. Primary Responsibilities: Upon the order of a qualified practitioner or provider, the Medical Imaging Supervisor will utilize equipment that produces ionizing radiation and/or other energies used in medical imaging to obtain studies for diagnostic purposes according to policies, procedures, and protocols of the KSC Medical Imaging Department and Kelsey-Seybold Clinic The Medical Imaging Supervisor will...

A non-profit health organization seeking a Certified Medical Coder to provide administrative and operational support. Responsibilities include reviewing claims for appropriateness, conducting research on medical records, and ensuring compliance with coding regulations. Requires strong analytical and critical thinking skills, along with a CPC or CCS certification. The ideal candidate will also have excellent interpersonal skills and experience with health plans. Opportunities for growth within a supportive team environment. #J-18808-Ljbffr

Level: Experienced Job Location: Houston, TX 77092 Position Type: Experienced Travel Percentage: None Job Shift: Day Sagis Diagnostics is an entirely physician-led sub-specialty pathology group supported by a CAP-accredited histology lab located in the heart of Houston, Texas. Led by a team of board-certified pathologists, our lab is at the forefront of diagnostic science. We offer the highest quality services to physicians, physician groups, ambulatory surgery centers, and hospitals. One of our many strengths is we develop strong collaborative relationships with each of our referring physicians by offering accurate, prompt, and clear diagnoses in a personal and customized manner. Position Title: Pathology Medical Coder Department: Medical Billing & Revenue Cycle Employment Type: Full-Time Work Location: On-Site We are seeking an experienced Pathology Medical Coder with strong knowledge across podiatry, surgical pathology, hematology, and toxicology. This role will...

Inpatient Coder Position At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. Qualifications Education Associate's degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program Licenses and Certifications Required: Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) Skills and Abilities...

Job ID: 2335521 Job Type: Full-time Location: Houston, TX 77001 Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Primary Responsibilities: Upon the order of a qualified practitioner or provider, the Medical Imaging Supervisor will utilize equipment that produces ionizing radiation and/or other energies used in medical imaging to obtain studies for diagnostic purposes according to policies, procedures, and...

Compliance Auditor position starting salary $33,280 annually. Higher starting salary with the right experience combined with generous salary growth potential. Job Summary: This position focuses on reporting. High level of attention to detail is required; proofreading or editing skill set is a plus. Must have ability to manage deadlines with multiple priorities, work under pressure, and appropriately handle confidential information. Ability to communicate professionally with all levels of personnel in the firm. Impeccable judgment, discretion, respect, and integrity is required. Must appreciate high volume in a fast-paced environment. This position reports directly to Attorney Group Director. Job Responsibilities: Reports to Group Director Must have knowledge of required performance metrics Must be able to work within dashboards Creation of standard reports to include customized reports as requested Create and/or maintain meticulous records, spreadsheets, and...

At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Supervises nursing staff, assesses patients needs and provides nursing care for patients. Plans and organizes training for unit staff members and participates in guidance and educational programs. Essential Functions Hires, trains, supervises and evaluates designated nursing staff; assigns duties and coordinates nursing services Participates in developing nursing protocol and procedures Provides continuing education and staff development opportunities for nursing staff Assesses patient needs; participates in providing nursing care; ensures services are carried out and...

A leading health care organization in Houston is seeking a Medical Imaging Supervisor to oversee diagnostic imaging operations. The successful candidate will have strong communication and leadership skills, along with at least five years of technical experience. This role requires a high school diploma, an associate's degree in radiologic technology, and various certifications. Competitive salary ranges from $72,800 to $130,000 annually, alongside a comprehensive benefits package. #J-18808-Ljbffr

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...

Supervisor Medical Imaging - Kelsey Seybold Clinic: Main Campus Explore opportunities with Kelsey‑Seybold Clinic, part of the Optum family. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi‑specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Primary Responsibilities Upon the order of a qualified practitioner or provider, operate medical imaging equipment that produces ionizing radiation and/or other energies used in medical imaging to obtain studies for diagnostic purposes according to policies, procedures, and protocols of the KSC Medical Imaging Department and Kelsey‑Seybold Clinic. Utilize the designated Radiology Information System...

A leading healthcare staffing firm is seeking a Medical Coder to manage patient billing and coding responsibilities. The ideal candidate will have at least 3 years of experience in medical billing, excellent communication skills, and proficiency in Microsoft Office. This role involves entering and coding services, handling insurance claims, and maintaining confidentiality. Certification is preferred but not required. Join our team to contribute to effective healthcare service delivery in Houston, Texas. #J-18808-Ljbffr

A prominent health care organization in Houston seeks a Certified Medical Coder responsible for leading administrative tasks related to coding and ensuring compliance with coding regulations. The successful candidate will analyze claim lines, assist with disputes, and maintain knowledge of CMS requirements. Applicants must hold a high school diploma and a CPC or CCS certification, with 6-8 years of coding experience preferred. The role demands strong communication skills and attention to detail. #J-18808-Ljbffr

A consulting firm in Texas is seeking a Joint Venture & Contract Compliance Auditor to join their audit team. This mid-senior level role involves interpreting agreements, analyzing data, and managing audits in the oil and gas industry. The ideal candidate will have a Bachelor’s degree in Accounting or Mathematics, possess strong analytical skills, and be proficient in Microsoft Excel and Word. Opportunities for growth and mentorship are provided within a supportive team environment. #J-18808-Ljbffr

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

Company Description International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include "hands on" direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network...