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3 results for Claims Processor Healthcare in Houston, TX

Accounts Receivable Supervisor/Manager
  • Houston, TX
  • onsite
  • Permanent / Full Time
  • 110000.00 - 120000.00 USD / Yearly
  • <p>Our client, an established organization in the Galleria area of Houston, TX, is seeking a seasoned Claims & Payment Processing Manager to lead a high-performing team in a fast-paced, high-risk environment. This is a fantastic opportunity for an innovative leader with a background in claims and payment processing within the insurance or healthcare industries.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><p>Lead and manage a team responsible for end-to-end claims and payment processing, focusing on accuracy, timeliness, and compliance.</p><p>Monitor, analyze, and improve Key Performance Indicators (KPIs) to ensure team and process effectiveness.</p><p>Apply data-driven insights to enhance performance and streamline operations.</p><p>Champion technology-driven automation initiatives to improve efficiency.</p><p>Coach, mentor, and develop team members, fostering independent thinking and encouraging problem-solving.</p><p>Maintain strict confidentiality and uphold company and industry standards.</p><p>Proactively identify risks and implement solutions in a high-risk environment.</p><p><br></p><p>This is a direct hire role paying up to 120K plus benefits and bonus working 100% on-site.</p>
  • 2026-05-15T12:38:46Z
Billing Specialist EMS
  • Houston, TX
  • onsite
  • Permanent / Full Time
  • 65000.00 - 85000.00 USD / Yearly
  • We are looking for an experienced Billing Specialist EMS to support ambulance claim processing for a healthcare organization in Houston, Texas. This position focuses on accurate and timely billing for emergency and non-emergency transport services while maintaining compliance with payer rules and documentation standards. The ideal candidate brings strong ambulance billing knowledge, works confidently with TriTech, and can help drive reimbursement through careful claim review and follow-up.<br><br>Responsibilities:<br>• Manage the full billing cycle for ambulance transport claims, from initial review through payment posting and account resolution.<br>• Prepare and submit claims in TriTech with close attention to accuracy, completeness, and applicable billing requirements.<br>• Examine patient care reports, transport records, and insurance details to confirm all supporting information is present before claim submission.<br>• Track outstanding claims with Medicare, Medicaid, and commercial insurers, taking prompt action to secure timely reimbursement.<br>• Investigate denied or rejected claims, correct identified issues, and coordinate appeal efforts when appropriate.<br>• Apply current payer guidelines and ambulance billing regulations to maintain compliant billing practices across all accounts.<br>• Partner with internal staff to clarify documentation, coding, or transport information that may affect claim processing.<br>• Maintain organized and confidential billing records while meeting deadlines in a high-volume work environment.
  • 2026-05-29T23:18:46Z
Billing Clerk
  • Houston, TX
  • remote
  • Temporary / Contract
  • 18.21 - 21.09 USD / Hourly
  • We are looking for a detail-oriented Billing Clerk to support a fully remote billing operation based in Houston, Texas. This Long-term Contract position is ideal for someone who can work Monday through Friday during Hawaii-Aleutian Standard Time hours and ensure billing information is accurate before final processing. The right candidate will bring strong attention to detail, prior billing experience, and confidence using Microsoft NAV and Excel in a fast-paced remote environment.<br><br>Responsibilities:<br>• Review billing tickets carefully to confirm accuracy, completeness, and readiness for processing by the onsite billing team.<br>• Verify billing-related details and resolve discrepancies before records move forward in the invoicing workflow.<br>• Maintain organized billing documentation and update information within the billing system as needed.<br>• Use Microsoft NAV to support daily billing activities, track records, and confirm transaction data.<br>• Prepare and check billing statements to help ensure timely and accurate processing.<br>• Work closely with internal team members in a remote setting to address questions and keep billing tasks on schedule.<br>• Apply Excel skills to review data, compare entries, and support routine reporting or reconciliation tasks.
  • 2026-05-18T21:28:49Z