Insurance Biller

Houston Methodist

. Process billing-related functions within the Centralized Business Office, including charge review, claim edits, payor rejections, unresolved or no-response insurance claims, and financial correspondence .

Posted 11/12/2026full-timeHouston • Texas • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in billing processes, including claim submission, edits, and resolving insurance inquiries while maintaining compliance with HIPAA and PCI regulations. Proficient in communicating effectively with stakeholders and managing billing-related functions within a centralized business office environment.

Highest-signal resume keywords

Professional Billing ExperienceICD and CPT Coding KnowledgeClaims Processing and SubmissionHIPAA and PCI ComplianceCustomer Service Communication

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims SubmissionClaim EditsInsurance BillingFinancial CorrespondenceData AnalysisBilling GuidelinesElectronic Health Record ManagementRevenue Cycle OperationsInsurance RequirementsProductivity Standards

Soft Skills

Effective CommunicationCustomer Service FocusIndependent WorkTeam SupportProblem Solving

Tools & Technologies

Billing SoftwareElectronic Health RecordsData Management Systems

Industry Keywords

MedicareMedicaidCommercial PayorsRevenue Cycle ManagementInsurance Claims

About the role

Key responsibilities & impact

Process billing-related functions within the Centralized Business Office, including charge review, claim edits, payor rejections, unresolved or no-response insurance claims, and financial correspondence
Provide support to revenue cycle departments and other Centralized Business Office departments related to billing functions
Communicate claim issues to departmental management, payor representatives, and other stakeholders as needed
Follow up on missing data that may delay claims submission and payment
Identify and prevent claims processing errors with internal CBO departments and Account Managers
Assist with knowledge sharing, payor and department training, and team member support
Resolve routine insurance billing inquiries and problems
Work assigned electronic health record work queues in response to correspondence, reports, data, and requests
Process financial and insurance correspondence associated with billing functions
Pull explanations of benefits and file secondary claims when needed
Complete claim edits accurately, compliantly, and timely
Document clear, concise, and complete notes for each account worked
Identify claim processing issues and billing trends and notify supervisors or managers
Submit claims within payor deadlines and report barriers to management
Resolve basic edits, rejections, unresolved/no-response claims, clearinghouse billing issues, and eligibility-related errors
Submit accurate adjustments where applicable according to billing guidelines, policies, contract requirements, and authority levels
Remain current on billing guidelines and payor or specialty practice regulations
Seek continual development beyond baseline competencies

Requirements

What you’ll need

High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
Two years of professional or hospital billing experience, as applicable to the department
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job
Working knowledge of professional fee insurance requirements
Familiarity with general International Classification of Disease (ICD) and Current Procedural Terminology (CPT) coding, payor filing deadlines, and electronic data elements required for clean claim submission
Ability to work independently with minimal supervision
Proficient computer skills and ability to learn and navigate multiple software programs
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Ability to meet departmental productivity and quality standards
Understanding of fundamentals of Medicare, Medicaid, commercial payors, and applicable revenue cycle operations
Ability to maintain HIPAA and PCI compliance and protect confidential patient, employee, and hospital information

Benefits

Comp & perks

Full-time employment
Hybrid work arrangement