7 cpb certified professional biller jobs found in Houston, TX

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...

Patient Support Medical Biller/Claims Processing Representative (Home-Based) Patient Support Medical Claims Processing Representative. This 100% remote contract position with IQVIA involves providing payment assistance solutions such as co‑pay cards or vouchers and processing medical claims from HCPs or patients. Claims are vetted against program specific business rules to determine payment or rejection. The role may convert to a full‑time IQVIA employee. Job Responsibilities Receive medical claims from HCPs or patients and ensure adequate supporting documentation has been provided. Interpret the EOB/CMS1500 and vet the claim against program specific business rules to determine if it should be paid or rejected. Provide support for customer requests via telephone, email, fax, or other available means of contact to the Support Center. Recognize operational challenges and suggest recommendations to management as necessary. Work 40 hours per week in one of the available shifts:...

Benefits 401(k) Bonus based on performance Paid time off Training & development Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist...

Medical Biller/Claims Processing - Patient Support Representative (Home-Based) Join to apply for the Medical Biller/Claims Processing - Patient Support Representative (Home-Based) role at IQVIA . Contract Remote Role – Location: Open to Remote US. As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world’s largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and...

Job Description Job Description JOB DESCRIPTION Medical Billing Specialist   Job Title: Medical Billing Specialist   General Summary of Duties: We are seeking a detail-oriented and organized Medical Billing Specialist to join our healthcare team. The ideal candidate will be responsible for managing and processing billing information, ensuring accurate coding of medical services, and submitting claims to insurance companies or patients. The specialist will work closely with healthcare providers, insurance companies, and patients to resolve any billing discrepancies or issues that arise.   Supervisor: Practice Administrator   Supervisory Responsibilities: None   Major Responsibilities/Tasks: Medical Coding and Billing: Accurately code medical diagnoses, treatments, and procedures using standard classification systems (CPT, ICD-10, HCPCS). Claims Submission: Submit electronic and paper claims to insurance companies and ensure compliance with payer-specific...

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...

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...