Houston Methodist

Account Manager

• Resolve outstanding third-party primary and secondary insurance claims for professional services
• Perform collections activities on simple and complex denials and outstanding insurance balances
• Provide information regarding denial trends for future prevention
• Collaborate with management to reduce account aging through verbal and written communication
• Identify denial trends and notify supervisors or managers to prevent future denials
• Collaborate with internal CBO departments and Account Managers
• Support knowledge sharing, payor and department cross-training, and team members
• Complete special projects to improve team performance
• Demonstrate expertise in Medicare, Medicaid, commercial payors, and revenue cycle operations
• Protect private health and personal information and comply with HIPAA and PCI regulations
• Review third-party payor work queues and resolve accounts and denials
• Document complete follow-up notes and monitor work quality
• Identify, analyze, and escalate accounts receivable collection trends
• Meet or exceed follow-up productivity goals
• Contact payors and patients to expedite and maximize insurance claim payments
• Review accounts to determine steps needed to resolve outstanding denials
• Perform billing functions, including claim resubmissions
• Create and submit appeals and engage the coding follow-up team when necessary
• Stay current on payor collection procedures and industry trends
• Pursue continual professional development

Account Representative

Nurse

• Provide professional nursing care in collaboration with the bedside nurse through two-way audio/visual technology
• Assess vital signs and monitoring data through specialized software
• Provide direct nursing care to a diverse patient population in a Virtual ICU setting
• Conduct nursing assessments and assist with exams and treatment
• Maintain medical records and audit plans of care
• Coach and mentor department staff and support professional growth
• Role-model compassionate communication with physicians and interprofessional healthcare teams
• Lead unit and shared governance activities and serve as charge nurse as needed
• Assess unit needs and serve as a clinical resource for unit and hospital staff
• Coordinate unit and hospital-wide education with management
• Develop, update and communicate patient care and discharge plans
• Provide patient and family education and evaluate comprehension
• Lead quality, safety, practice-change and performance-improvement initiatives
• Respond to patient deterioration, Rapid Response/CERTs and emergency codes
• Manage complex patient assignments and unit demands
• Contribute to patient throughput, resource stewardship and financial targets
• Participate in unit projects, innovation and evidence-based practice implementation

Registered Nurse – Virtual

Representative

• Maintain environmental and infection control standards according to established policies and procedures
• Perform general cleaning tasks in assigned areas to provide a safe and attractive environment for patients, guests, and staff
• Interact positively and professionally with patients, family, and staff
• Participate in meetings, huddles, and team activities
• Respond to requests for assistance with directions and information
• Respond promptly to assignments supporting a healing environment
• Perform room cleaning processes to support timely patient admissions
• Follow room-cleaning and discharge-inspection processes
• Achieve discharge, daily room-cleaning, and assigned-area turnaround times
• Track, log, and report equipment safety and repair needs to management
• Communicate and document facility or patient-related issues and correct minor safety hazards
• Use and store chemicals, paper goods, supplies, and equipment appropriately
• Manage time and prioritize daily department tasks
• Participate in continuing education and contribute process-improvement ideas

Environmental Services Representative

Medical Billing and Coding

• Apply correct coding conventions to patient charge encounters in a clinical environment
• Abstract diagnosis and procedural services from physician records
• Review and correct charge review and claim edit-related coding errors in the electronic health record
• Review, correct, and appeal coding-related claim denials
• Mentor and cross-train Coding Specialists
• Communicate with physicians and Physician Organization Central Business Office staff to clarify diagnosis and procedures
• Collaborate with management to reduce claim denials
• Respond to internal requests for medical coding information
• Participate in coding round tables and in-services
• Provide backup coverage and cross-training for team members
• Code and abstract medical records for reimbursement using current coding conventions, guidelines, and tools such as 3M encoder
• Verify and substantiate diagnoses and procedures for charge review, claim edits, and denied claims
• Submit clinical appeals or corrected claims
• Create and review department-specific coding workflows
• Match charge documents, billing sheets, operative reports, and medical records to ensure accurate coding and capture billable services
• Complete charge review and claim edit sessions within two business days
• Investigate and appeal unpaid, denied, and partially paid third-party claims
• Provide ongoing coding and documentation education to physicians and clinical staff

Senior Coding Specialist

Nurse Practitioner

• Provide diagnosis, treatment, consultation, and comprehensive patient care in inpatient and outpatient settings
• Maintain and promote patient health and educate patients about preventative care and prescribed treatments
• Conduct physicals, order tests, and prescribe medications as appropriate
• Coordinate timely care for defined patient populations under physician supervision
• Attend and participate in interprofessional rounds
• Collaborate with healthcare providers to manage and coordinate patient care
• Conduct initial, ongoing, and discharge health assessments
• Identify health characteristics, develop care plans, initiate interventions, and evaluate outcomes
• Perform invasive, diagnostic, and therapeutic procedures within licensure and credentialed privileges
• Lead quality, outcome, and patient-safety improvement activities
• Assist with development and implementation of patient-safety protocols
• Mentor and coach staff, serve as a clinical resource, and precept Nurse Practitioner students and medical residents
• Participate in research and evidence-based activities
• Identify practice-change and performance-improvement opportunities
• Document care and support financial targets by reducing length of stay and optimizing efficiency
• Travel within the Houston Metropolitan area as required

Nurse Practitioner, Non-Acute Care – Part-Time, Virtual Ambulatory

• Provide all aspects of patient care, including diagnosis, treatment, consultation, and health promotion
• Function as a licensed registered nurse and nurse practitioner in inpatient and outpatient settings
• Conduct physicals and health assessments
• Order diagnostic tests and prescribe medications as appropriate
• Coordinate timely patient care for defined patient populations under physician supervision
• Coordinate care between healthcare providers and participate in interprofessional rounds
• Develop plans of care, initiate interventions, and evaluate outcomes
• Perform invasive, diagnostic, and therapeutic procedures within licensure and credentialed privileges
• Lead quality, outcome, and patient-safety improvement activities
• Collaborate with interprofessional healthcare teams and advocate for patients and families
• Provide education to patients about preventative care and prescribed treatments
• Serve as a clinical resource, consultant, patient advocate, preceptor, and staff coach
• Participate in research, evidence-based activities, presentations, and publications
• Support financial targets through timely documentation, efficiency, and resource allocation
• Travel within the Houston Metropolitan area as required

Nurse Practitioner, Non-Acute Care, PRN – Virtual Ambulatory

Insurance

• Obtain and manage insurance authorizations for medical services, complex procedures and treatments, and complex insurance plans
• Obtain insurance verification as needed
• Serve as a liaison among patients, facilities, physicians, and departments for timely and accurate authorization
• Collaborate with internal and external stakeholders to resolve authorization challenges
• Provide timely authorization-status updates
• Initiate and manage authorization processes for medical services and simple procedures and treatments
• Maintain accurate records of authorization requests and approvals
• Document communications with insurers, healthcare professionals, and internal stakeholders
• Gather documentation from healthcare providers for authorization requests
• Respond to requests and maintain communication regarding authorization status and resolution
• Follow documentation standards and make timely, accurate account notations
• Maintain knowledge of insurance regulations, policies, and procedures
• Verify proper insurance authorization before scheduled appointments
• Organize workload, prioritize tasks, minimize incidental overtime, and support team members
• Suggest process improvements and adapt to changing demands

Senior Insurance Verifier

Physician Assistant

• Assist in the examination and treatment of patients under direct supervision
• Assist providers with patient care, examinations, procedures, diagnostic studies, treatments, and dressing changes
• Perform general administrative duties in accordance with CLIA, HIPAA, NCQA, government standards, and company policies
• Schedule patient appointments, ensure medical necessity compliance, and verify eligibility for care
• Obtain and document vital signs, chief complaints, medication reviews, and medical/social histories
• Document care, diagnostic measurements, treatments, and procedures in the electronic medical record
• Follow up with patients regarding recommendations, medications, lab/x-ray results, and specialty visits
• Ensure patient utilization and activation of MyChart
• Prepare treatment rooms and maintain equipment and supplies
• Report patient observations, conditions, and problems to physicians or nurses
• Sterilize instruments and equipment under supervision
• Stock exam rooms and take inventory
• Collaborate with physicians, nurses, staff, and the interprofessional care team
• Participate in performance improvement projects and professional development activities
• Take telephone/email messages and forward them to providers or registered nurses

Certified Medical Assistant

General

• Perform routine, common, and special diagnostic CT examinations of moderate complexity, progressing toward higher-complexity exams
• Provide direct assistance to physicians during diagnostic and special CT procedures, including sterile technique
• Position patients, prepare them for procedures, assess physiology, adjust technical factors, and optimize patient care, image quality, and patient experience
• Explain procedures and provide instructions to patients and family members
• Follow ALARA, radiation safety, infection control, sterile, and aseptic techniques
• Observe and respond to patient reactions to contrast media or medications
• Perform daily imaging equipment quality control and report malfunctions
• Document patient procedures accurately and enter charges when services are delivered
• Report near misses and errors and contribute to corrective actions and quality improvement
• Collaborate with the patient care team and report pertinent patient care information
• Participate in department projects, shared governance, in-service programs, and continuing education
• Manage time, prioritize tasks, and use supplies efficiently

CT Technologist – PRN

Operations

• Manage, plan, develop, and oversee clinical department operations, budgets, and administrative activities
• Manage daily work activities, scheduling, supervision, retention, and evaluation of department employees
• Provide staff guidance, development, mentoring, coaching, and corrective counseling
• Contribute to hiring and termination decisions and coordinate initial interviews for administrative support positions
• Develop and implement policies, procedures, training, monitoring, and compliance initiatives
• Plan and organize daily department operations, schedules, priorities, and functional standards
• Maintain appropriate staffing levels, schedules, performance evaluations, and supply maintenance
• Resolve patient satisfaction issues and provide support to patients, physicians, faculty, and staff
• Monitor safety, accreditation, regulatory, and HR compliance requirements
• Optimize information systems, workflow, data management, and performance improvement
• Conduct analyses of utilization, patient satisfaction, revenue enhancement, and cost reduction opportunities
• Develop and manage department budgets, expenses, staffing plans, productivity, and resource efficiency
• Coordinate front-end billing operations and interface with the Centralized Billing Office
• Lead process improvements, innovative solutions, strategic relationships, and change initiatives
• Contribute to annual clinic/department goals and support staff achievement through training and resources