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11 results for Medical in Houston, TX

Utilization Management Representative

Pearland, TX
remote
Temporary / Contract
11.00 - 13.00 USD / Hourly
We are looking for a dedicated Utilization Management Representative to join our client's team in Pearland, Texas, on a contract basis. The Utilization Management Representative position focuses on supporting the Utilization Management department by ensuring accurate and timely processing of authorization requests while maintaining clear communication with providers and members. The Utilization Management Representative role offers an opportunity to contribute to operational efficiency, regulatory compliance, and quality patient care in a health insurance environment. Key Responsibilities:<ul><li>Handle inbound calls from providers, members, and facilities regarding authorization requests, status updates, and coverage questions</li><li>Review and process authorization requests received via phone, fax, and electronic systems</li><li>Create and document authorization cases accurately within utilization management systems or EHR platforms</li><li>Route cases requiring medical necessity review to clinical staff (RNs, LVNs, Medical Directors)</li><li>Communicate authorization determinations to providers and members in compliance with regulatory requirements</li><li>Maintain accurate, timely documentation to support compliance and operational standards</li><li>Collaborate with internal teams to ensure efficient case processing and resolution</li></ul>
2026-05-22T12:33:57Z

In House Counsel

Houston, TX
onsite
Permanent / Full Time
120000.00 - 160000.00 USD / Yearly
We are looking for an experienced In-House Counsel with a strong background in commercial contracting within the medical sector. This role requires expertise in drafting and negotiating contracts, coupled with a solid understanding of regulatory frameworks impacting the industry. Ideal candidates will also bring experience in life sciences and information privacy compliance. Responsibilities:• Draft, review, and negotiate various commercial contracts, including sales agreements, vendor agreements, and non-disclosure agreements.• Provide legal guidance on contract interpretation, risk assessment, and compliance with industry regulations and healthcare laws.• Collaborate with internal teams such as sales, marketing, and regulatory affairs to align contracts with business objectives and compliance standards.• Address legal issues in existing commercial relationships, including dispute resolution and contract enforcement.• Develop and implement policies for efficient contract management and ensure adherence to company standards.• Educate and advise employees on legal matters related to commercial transactions and contracting practices.• Conduct research and stay informed about legislative changes affecting the medical device industry.• Perform detailed legal analysis and provide clear recommendations on complex issues.• Support the development of compliance strategies related to privacy and regulatory requirements
2026-05-04T15:42:44Z

Pre-Litigation Attorney

Houston, TX
onsite
Permanent / Full Time
125000.00 - 170000.00 USD / Yearly
We are looking for a skilled Pre-Litigation Attorney to join a plaintiff-side personal injury practice in Houston, Texas. This position is well suited for someone who values client contact, thoughtful case assessment, and effective resolution strategies before formal litigation becomes necessary. The role offers the chance to work on a broad range of injury matters in a collaborative setting with strong administrative support and a focus on delivering meaningful outcomes for clients. Responsibilities: • Oversee a portfolio of personal injury claims from initial intake through pre-suit resolution, ensuring each matter progresses efficiently. • Serve as a primary point of contact for clients, providing updates on medical care, claim developments, and recommended next steps. • Assess liability, damages, and available insurance coverage to shape case strategy and support settlement efforts. • Examine medical files, billing records, and related documentation to build well-supported claims for compensation. • Prepare persuasive demand submissions and lead settlement discussions with insurance carriers and opposing representatives. • Partner with paralegals, case managers, and intake professionals to maintain organized files and timely movement of cases. • Recognize matters that should proceed to litigation and coordinate a smooth handoff with the litigation team when appropriate. • Keep case notes, deadlines, and follow-up activities current to support accuracy and responsiveness throughout the pre-litigation process. • Deliver attentive and compassionate service that helps clients feel informed and supported during the life of their claim.
2026-05-12T14:44:06Z

Sr. Accountant

Kingwood, TX
onsite
Permanent / Full Time
75000.00 - 90000.00 USD / Yearly
We are looking for a highly skilled Senior Accountant to join our team in Kingwood, Texas. In this role, you will oversee essential accounting functions, including financial reporting, multi-entity consolidations, and healthcare-specific revenue processes. The ideal candidate will bring a deep understanding of accounting principles, strong analytical skills, and a commitment to maintaining accuracy and compliance. Responsibilities:• Prepare and review financial statements on a monthly, quarterly, and annual basis for multiple clinic locations.• Lead or support month-end and year-end close processes, including journal entries, accruals, and account reconciliations.• Analyze financial results to identify variances and provide actionable insights to management.• Manage and maintain general ledgers for multiple locations and legal entities, ensuring accuracy and consistency.• Assist with consolidations and intercompany transactions, maintaining alignment across all entities.• Support revenue recognition processes, including handling patient service revenue, insurance reimbursements, and contractual adjustments.• Collaborate with billing and revenue cycle teams to ensure accurate financial reporting.• Ensure compliance with healthcare regulations and internal controls, while assisting with audits and preparing necessary schedules.• Contribute to annual budgeting and forecasting efforts, partnering with operational leaders to track performance.• Identify and implement process improvements to enhance efficiency and accuracy in accounting operations. For immediate consideration, contact Mark, mark.loiacano@roberthalf
2026-05-21T14:04:01Z

Accounts Receivable Supervisor/Manager

Houston, TX
onsite
Permanent / Full Time
110000.00 - 120000.00 USD / Yearly
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. Key Responsibilities: Lead and manage a team responsible for end-to-end claims and payment processing, focusing on accuracy, timeliness, and compliance.Monitor, analyze, and improve Key Performance Indicators (KPIs) to ensure team and process effectiveness.Apply data-driven insights to enhance performance and streamline operations.Champion technology-driven automation initiatives to improve efficiency.Coach, mentor, and develop team members, fostering independent thinking and encouraging problem-solving.Maintain strict confidentiality and uphold company and industry standards.Proactively identify risks and implement solutions in a high-risk environment. This is a direct hire role paying up to 120K plus benefits and bonus working 100% on-site.
2026-05-15T12:38:46Z

Financial Analyst

Houston, TX
onsite
Permanent / Full Time
70000.00 - 85000.00 USD / Yearly
Financial AnalystHouston, TX | Full-Time | Healthcare IndustryA growing healthcare organization in Houston is seeking a Financial Analyst to join its finance team. This role will support financial planning, reporting, and operational analysis while partnering with leadership to drive data-driven decisions across the organization. The ideal candidate will have strong financial modeling and Power BI skills and experience translating complex data into actionable insights.Key Responsibilities<ul><li>Build and maintain financial models to support budgeting, forecasting, and long-term planning</li><li>Develop and maintain Power BI dashboards and reports to provide visibility into financial and operational performance</li><li>Analyze financial results, identify trends, and explain variances to leadership</li><li>Support the annual budget and forecasting process</li><li>Partner with operational leaders to analyze service line performance and key metrics</li><li>Prepare monthly and ad hoc financial reports for senior management</li><li>Assist with process improvements and automation of reporting</li></ul>
2026-05-15T12:38:46Z

Staff Accountant

Houston, TX
onsite
Permanent / Full Time
70000.00 - 80000.00 USD / Yearly
Staff Accountant – Cash ManagementHybrid Schedule (Monday–Wednesday in Office) Who We AreWe are a leading publicly traded organization supporting a nationwide network of healthcare clinics. With more than 700 partner locations across 44 states, we provide operational expertise, resources, and clinical support that help practices succeed while maintaining their independence. Our model focuses on collaboration, performance, and high-quality patient care. Do You Have What We Need?The Staff Accountant – Cash Management plays a key role in overseeing daily cash activity, ensuring accurate posting, reconciliation, and reporting of transactions. This position supports financial integrity through detailed analysis, strong documentation, and close collaboration with internal stakeholders.Key Responsibilities<ul><li>Review and approve daily deposit postings for assigned partnerships, ensuring accuracy and timeliness</li><li>Verify all deposits are supported by appropriate documentation and audit trails</li><li>Collaborate with Regional Controllers and operational teams to investigate and resolve discrepancies</li><li>Prepare and complete monthly bank reconciliations using BlackLine, resolving variances as needed</li><li>Record and reconcile intercompany cash transactions; research and resolve unapplied payments</li><li>Respond to inquiries from internal and external stakeholders regarding cash activity</li><li>Monitor outstanding checks and ensure timely resolution, including proper handling of voids</li><li>Apply strong knowledge of cash application processes and accounting principles</li><li>Maintain detailed and organized documentation of daily activities</li><li>Generate and analyze reports to identify trends, discrepancies, and opportunities for process improvement</li></ul>
2026-05-12T13:58:42Z

Collections Specialist

Houston, TX
onsite
Temporary / Contract
19.79 - 22.91 USD / Hourly
We are looking for a Collections Specialist to support account resolution efforts for a healthcare organization in Houston, Texas. This Long-term Contract position focuses on managing receivables, addressing payment issues, and partnering with internal teams and external accounts to improve collection performance. The ideal candidate brings strong follow-through, sound judgment, and a customer-focused approach to resolving outstanding balances while maintaining positive business relationships. Responsibilities: •Investigate payment discrepancies and resolve underpayments by working directly with customers and internal stakeholders. •Manage a portfolio of assigned accounts by tracking balances, reviewing account activity, and processing appropriate adjustments, write-offs, reconciliations, and credit-related documentation. •Take proactive steps to lower past-due balances and improve the overall aging of receivables within the assigned account base. •Partner with sales and other internal departments to secure required purchase order details and remove barriers to timely payment. •Lead recurring account review meetings to discuss aging trends, open items, and next steps for resolution. •Coordinate with sales, operations, and leadership when escalation is needed to speed up collections and settle overdue accounts. •Provide timely updates and consistent follow-up to internal teams regarding account status, risks, and collection progress. •Prepare and present regular reporting on high-priority accounts and work through credit hold issues within required timeframes to prevent extended account restrictions. •Resolve customer disputes related to outstanding invoices while delivering attentive service to both internal and external partners. •Stay informed on company offerings, policies, and procedures through ongoing training and apply that knowledge to daily collections activity.
2026-05-21T15:48:43Z

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. Responsibilities: • Manage the full billing cycle for ambulance transport claims, from initial review through payment posting and account resolution. • Prepare and submit claims in TriTech with close attention to accuracy, completeness, and applicable billing requirements. • Examine patient care reports, transport records, and insurance details to confirm all supporting information is present before claim submission. • Track outstanding claims with Medicare, Medicaid, and commercial insurers, taking prompt action to secure timely reimbursement. • Investigate denied or rejected claims, correct identified issues, and coordinate appeal efforts when appropriate. • Apply current payer guidelines and ambulance billing regulations to maintain compliant billing practices across all accounts. • Partner with internal staff to clarify documentation, coding, or transport information that may affect claim processing. • Maintain organized and confidential billing records while meeting deadlines in a high-volume work environment.
2026-04-23T19:48:44Z

Collections Specialist

Houston, TX
onsite
Temporary to Hire
26.00 - 30.00 USD / Hourly
We are looking for an AR / Collections Specialist to join a manufacturing organization in Houston, Texas on a contract basis with the potential for a permanent role. This position focuses on strengthening cash flow, maintaining accurate receivable records, and building productive relationships with business customers. The ideal candidate brings strong commercial collections experience, sound judgment, and the ability to manage priorities independently in a fast-paced environment. Responsibilities: • Manage commercial accounts receivable activities by monitoring open balances, following up on past-due invoices, and driving timely payment from business clients. • Apply cash receipts accurately, reconcile account activity, and investigate discrepancies to keep customer ledgers current and reliable. • Prepare and issue billing documents, review invoice accuracy, and coordinate with internal teams to resolve payment or documentation issues. • Communicate with customers by phone and email to address outstanding balances, negotiate payment arrangements, and maintain positive business relationships. • Analyze aging reports and collection trends to identify risk, prioritize follow-up efforts, and support stronger overall account performance. • Maintain detailed records of collection activity, account status, and customer correspondence to support reporting and audit readiness. • Partner with accounting and operations stakeholders to resolve disputes, improve receivable processes, and support ongoing financial accuracy.
2026-04-22T19:38:49Z

Accounts Payable Staff Accountant

Houston, TX
onsite
Permanent / Full Time
65000.00 - 75000.00 USD / Yearly
Our client is looking for an Accounts Payable Staff Accountant to join a growing team. This position is ideal for an accounting specialist with strong attention to detail who can manage invoice workflows, support accurate financial reporting, and communicate clearly with internal stakeholders. The role offers the opportunity to contribute across accounts payable operations, reconciliations, and month-end accounting activities in a fast-paced environment. Responsibilities:• Oversee the full accounts payable cycle, including reviewing invoices, assigning accurate account codes, matching supporting documentation, and preparing items for payment.• Record journal entries and maintain supporting schedules to ensure financial transactions are posted correctly and on time.• Participate in team discussions and status meetings by providing updates on payable activity, open items, and issues requiring follow-up.• Reconcile accounts receivable-related balances and balance sheet accounts, investigate discrepancies, and summarize variances for management review.• Prepare and process 1099-related documentation in compliance with reporting requirements and year-end deadlines.• Use Excel tools such as pivot tables and lookup functions to organize data, analyze trends, and support account reconciliations.• Assist with check runs and payment processing while maintaining accuracy and adherence to internal controls.• Work within a large-scale ERP or accounting platform to manage invoice processing, reporting, and transaction records efficiently.
2026-04-28T14:33:43Z