Billing Specialist Ems Jobs in Houston, TX

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Medical Billing Specialist

Spring, TX
onsite
Temporary / Contract
22 - 25 USD / Hourly
Hiring Immediately – Accountant (Payroll, Arbitration Fees & Client Billing)On-site · Full-time Start date: ASAPWe are seeking a reliable, detail-oriented accountant who can start right away and has experience handling payroll, tax reporting, bank reconciliation, arbitration fee payments, and month-end client invoicing.What you'll do<ul><li>Process payroll accurately and on time</li><li>Prepare and file quarterly payroll reports (941, Texas TWC)</li><li>Prepare and file year-end 1099s and W-2s</li><li>Keep employee, vendor, and client records up to date in QuickBooks Online</li><li>Perform bank reconciliations</li><li>Prepare month-end client invoices with required supporting reports</li><li>Check insurance portals and post payments as assigned</li><li>Manage heavy incoming email volume</li><li>Pay fees in a timely manner</li><li>Apply refund credits to clients</li><li>Handle other duties as assigned</li></ul>Qualities we need<ul><li>Deadline-driven: treats payroll, tax, and fee due dates as non-negotiable</li><li>Extremely detail-oriented: double-checks numbers, names, and attachments before anything goes out</li><li>Accountable and honest: reports tasks as done only when fully completed and reviewed; communicates early when something is behind</li><li>Independent after training: able to manage workload without constant oversight</li><li>Follows processes consistently once trained</li><li>Finishes what is started, or communicates clearly if unable to do so</li><li>Good communicator: responsive on Teams and email, professional with clients</li><li>Confidential: handles payroll, patient, and client data with care</li></ul>
2026-11-06T00:00:00Z

Billing Accountant

La Porte, TX
onsite
Permanent / Full Time
65000 - 75000 USD / Yearly
We are looking for a Billing Accountant to support project invoicing and accounts receivable activities for industrial construction work. This Billing Accountant focuses on accurate contract billing, payment tracking, and detailed review of project documentation, contract terms and/or Purchase Orders to ensure invoices reflect approved terms and completed work. The ideal Billing Accountant is highly organized, comfortable working with billing data in Excel and Spectrum, and confident coordinating with project teams and customers to resolve billing and payment issues effectively. Responsibilities for the Billing Accountant• Prepare customer invoices for industrial construction projects, including lump-sum, time-and-material, and cost-based billing arrangements.• Set up new jobs in the accounting system using contract details, unit pricing, purchase order information, and schedule of values data.• Review contracts, pay applications, and project backup to confirm billed percentages, retainage, prior invoicing, and current charges are accurate.• Use project managers’ completion updates to generate invoices that align with contractual terms and verified progress.• Monitor accounts receivable activity by tracking billings, cash receipts, collections status, and remaining purchase order balances.• Apply cash receipts and support the full billing cycle from invoice creation through payment reconciliation.• Work with customers in a detail-focused manner to address overdue balances and follow up on outstanding payments.• Utilizing AI to produce ERP and Excel-based billing and financial reports, including summary information for management using tools such as pivot tables and lookup functions.• Verify that labor is billed using approved customer billing rates rather than payroll rates and assist with contract administration as needed.
2026-11-05T00:00:00Z

Senior Billing Representative

Sugar Land, TX
onsite
Temporary / Contract
17 - 17.23 USD / Hourly
We are looking for an experienced Medical Billing Specialist to support infusion-related billing and authorization activities in Sugar Land, Texas. This Long-term Contract position focuses on insurance verification, prior authorization processing, benefit review, and patient estimate preparation in a fast-paced healthcare setting. The role requires close attention to documentation, clear communication with patients, and strong knowledge of payer guidelines and compliance standards. Responsibilities:• Confirm insurance coverage, eligibility, and benefit details for infusion-related services before treatment is scheduled or provided.• Prepare and submit prior authorization requests with complete clinical and billing documentation to support timely payer review.• Examine medical records and physician documentation to determine whether submitted information meets payer requirements for infusion services.• Develop accurate patient cost estimates based on verified benefits, coverage limitations, and expected out-of-pocket responsibility.• Communicate with patients to explain authorization status, insurance details, and anticipated financial responsibility in a clear and thorough manner.• Coordinate with internal billing and clinical teams to resolve missing information, follow up on pending approvals, and prevent delays in service.• Maintain accurate records of benefit verification, authorization activity, and patient communication while following HIPAA and PHI standards.• Review payer responses and update account information to ensure billing workflows reflect the latest authorization and coverage outcomes.
2026-11-04T00:00:00Z

3 results for Billing Specialist Ems in Houston, TX