30 medical billing specialist jobs found in Houston, TX

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 ·...

Medical Billing Specialist Revenue Cycle Management is looking for a Medical Billing Specialist to join our team! This is a hybrid opportunity after 30-90 day in-person training (4 days from home 1 day in office). Summary: The Medical Billing Specialist is responsible for analyzing patients records and coding the patients records based on ICD-10 and CPT codes. Additionally ensure all charges are reflected on the patient account and communicate with inter-departments regarding any type of discrepancy for corrections. Essential Functions: Reviews medical record documentation to ensure pertinent diagnoses are coded Utilizes ICD 10 CPT clinical reports UDS reports H&P reports operative reports code diagnosis and modifiers according to coding guidelines Communicates effectively with all appropriate parties regarding missing information to ensure proper billing submission Prepares and submit electronic and paper claims to insurance carriers and gov payers Manages...

A healthcare organization is seeking a Medical Billing Specialist to manage insurance claims, ensure timely billing, and maintain documentation. The role requires 1-2 years of medical billing experience in a women's health setting, strong knowledge of CPT codes, and familiarity with billing platforms. Benefits include comprehensive health coverage, generous PTO, and support for career growth. Join a passionate team dedicated to patient care in Houston, Texas. Apply today! #J-18808-Ljbffr

Medical Billing Specialist - Women's Health Job Category : Revenue Cycle Requisition Number : MEDIC004785 Posted : January 26, 2026 Full-Time Locations Showing 1 location Inception Fertility - Franklin | 104A 5000 Meridian Blvd, Ste 250 Franklin, TN 37067, USA The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. The Medical Billing Specialist collaborates with patients, revenue cycle counterparts and work units, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims. Reviews patient demographic and insurance information and confirms patient benefit details related to services provided by the clinic from insurance providers. Obtains necessary medical documentation from clinicians to provide to insurance companies as required...

Medical Billing Specialist (Revenue Cycle Management) Bilingual Spanish Preferred This is not a remote position; it is in the office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and...

A leading pharmacy franchise is seeking a Home Infusion Billing Specialist for a fully remote position. The ideal candidate will have 2-5 years of home infusion billing experience and excellent communication skills to navigate billing and collections effectively. Responsibilities include submitting medical claims, troubleshooting rejections, and documenting activities. Join a team that values inclusivity, with opportunities for growth and various benefits including comprehensive health plans and paid time off. #J-18808-Ljbffr

A healthcare provider in The Woodlands, Texas is seeking a skilled Billing Specialist responsible for accurate medical claims submission and follow-up. The role encompasses verifying insurance eligibility, ensuring HIPAA compliance, and resolving claim issues. Candidates should have familiarity with billing processes and be able to maintain patient confidentiality. This position is pivotal in supporting efficient revenue cycle operations and communicating effectively with patients and payers. #J-18808-Ljbffr

A healthcare organization in Texas seeks a Billing Specialist to manage medical billing operations and support patients with inquiries about their accounts. This full-time role involves working with third-party billing agencies, overseeing collections, and conducting insurance verifications. The ideal candidate will have at least two years of medical billing experience and strong organizational skills. Join us to contribute to our financial health while delivering exceptional patient service. #J-18808-Ljbffr

A leading healthcare service provider in Houston, Texas is seeking a Billing Specialist to process insurance claims and client billing for pathology procedures. The ideal candidate will have at least two years of billing and coding experience, knowledge of EOBs, and be proficient in CPT and ICD-10 codes. This role involves accurate processing of claims and effective management of denials to ensure financial success. Candidates should possess a High School Diploma or GED and preferably a certification in healthcare billing. #J-18808-Ljbffr

Job Description Job Description JOIN OUR TEAM!   Billing Specialist must be able to bill both manually and electronically, interpret claims to ensure clean claims are produced, post and interpret EOB's, ability to effectively appeal denied claims as well as execute rebills. Knowledge of ICD-10, CPT and regulatory billing requirements. Ability to effectively communicate with patients regarding claims, statements, etc. Perform other various job-related duties as requested. Bill both electronically and manually, as needed, and use all technology available to produce clean claims. Interpret claims processing reports and apply information to produce clean claims. Bill both electronically and manually, as needed, and use all technology available to produce clean claims. Interpret claims processing reports and apply information to produce clean claims. Maintain current knowledge of regulatory billing requirements. Bill both electronically and manually, as needed, and use all...

A medical billing services provider is seeking motivated Medical Billing and Coding Specialists to join their team in Houston, Texas. The position offers remote work and requires completion of a self-paced online course within 6 months. Responsibilities include reviewing medical records, coding treatments using CPT codes, and submitting claims to ensure timely reimbursement. Ideal candidates will possess excellent typing and mathematical skills, attention to detail, and a high school diploma. Join a dynamic team that supports your growth in medical billing and coding. #J-18808-Ljbffr

A healthcare provider in Houston seeks a Coder to ensure precise communication with insurance companies and accurately translate medical records into standardized codes. The ideal candidate will have a high school diploma or GED along with 1-3 years of coding experience. Responsibilities include maintaining compliance with coding standards and communicating with clinical and administrative teams. This position offers a pay range of $24.15 - $34.12 per hour. #J-18808-Ljbffr

A healthcare solutions firm is seeking motivated coders and bill reviewers in Houston, Texas. This role involves reviewing medical records to ensure accurate medical billing and coding, while also facilitating communication with other reviewers and teams. Candidates should possess skills in bill review or coding and must be able to meet client deadlines. Competitive compensation and growth potential are offered in an exciting work environment. #J-18808-Ljbffr

Job Description Job Description Westside Podiatry is searching for a confident professional that is adept at medical insurance billing, coding, and receivables recovery, with a strong background in Athena. The candidate must have proven productivity track record, great attitude, thrive in a fast paced production environment, be quality oriented, and possess the ability to adapt to a variety of technologies. You will work closely with patients, providers, insurance companies, and medical/surgical representatives to ensure the proper revenue for the practice. Skills Required: You must have at least 3 years of in-depth medical business office experience. This should include experience with coding, posting, electronic remittance filing, A/R, plus strong positive working relationships with patients and insurance companies. We will only consider candidates with medical billing experience. Critical and analytical thinking is key. Must be able to work independently and in a team...

Medical Coder US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX. Responsibilities: Reviews encounter in a timely manner and resolves all coding-related edits. Reviews medical records and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers, ensuring compliance with all applicable guidelines. Generates physician queries following established procedures. Provides feedback and education as required. Confirms that all applicable USHV and Coding Guidelines are followed while coding and resolving edits. Performs charge entry of professional services, including but not limited to non-invasive tests and hospital or office-based visits. Abstracts information needed for billing. Performs charge reconciliation via logs, visit schedules, and other reports when applicable to the department. Meets the required coding quality and productivity expectations per department policy and procedures....

Professional Coder II What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as... Free financial...

About Us Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor...

*Description* The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1.Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. 2.Utilizes critical thinking to analyze and evaluate documentation...

Where You’ll Work CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your...

Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients' medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. The Coder I is responsible for abstracting and assigning valid CPT ICD-9/10 and HCPCS codes to ensure appropriate reimbursement in accordance with federal state and private health plans as well as organization and regulatory guidance. This roles typically...

Position Summary: The Professional Coder II is responsible for reviewing medical documentation provided by physicians or other health care professionals to validate or assign and sequence CPT/HCPCS, ICD-10CM, and modifiers for both clinic and hospital based professional encounters. The Coder applies coding conventions in accordance with official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for inpatient/outpatient E/M encounters including office or hospital outpatient procedures, radiology and emergency department visits. Position Key Accountabilities: Resolves edits and assigns diagnosis and procedure codes. Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. Reviews medical record and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers ensuring compliance with all applicable guidelines. Approves and...

DRG Coding Auditor Principal _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. Alternate locations may be considered. 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. 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. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

*100% remote but MUST live in one of these states: TX, OK, AL, MO, GA, FL, AR, KS, SD, IL, KY, LA, AL, TN, ME* *Work Environment - **Fully Remote 8-5 (flexible start time 7, 8,9) CST* *Job Summary* We are seeking a skilled Surgery Coding Specialist with proven experience across multiple surgical specialties. This role is responsible for directly coding surgical procedures using PMD and Auto Note, ensuring accurate, complete, and compliant documentation. The ideal candidate is confident in surgical coding, detail-oriented, and capable of covering general surgery, breast, head and neck, and GI procedures. *Key Responsibilities* * Code surgical procedures directly from operative reports and clinical documentation * Utilize PMD to support coding workflows and documentation review * Pull up Auto Notes and accurately complete all required coding fields * Assign correct CPT, ICD-10, and modifiers in accordance with coding guidelines * Ensure accuracy for billing, reporting, and...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...