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Healthhelp Jobs in Houston, TX (NOW HIRING)

Sr Nurse - Clin. Education

Houston, TX · On-site

$80K - $95K/yr

Conducts focused training to ensure that all staff are properly educated on HealthHelp policies and clinical processes. Reviews monthly quality audit findings and conducts one-on-one coaching with ...

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

Performs clinical reviews according to the policies and procedures of HealthHelp within the identified State and Federal or Client agreed upon timeframes. Collaborates with client personnel to ...

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

... HealthHelp within the identified State and Federal or Client agreed upon timeframes. • Collaborates with client personnel to resolve customer concerns. • Appropriately identifies and refers ...

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

Performs clinical reviews according to the policies and procedures of HealthHelp within the identified State and Federal or Client agreed upon timeframes. Collaborates with client personnel to ...

Healthhelp information

What is HealthHelp?

HealthHelp is a healthcare management company that provides specialty benefit management services for health plans and providers. They focus on improving patient outcomes and reducing unnecessary healthcare costs by using evidence-based guidelines and clinical expertise to review and authorize medical procedures, imaging, and other specialty services. HealthHelp partners with payers and providers to ensure that patients receive appropriate care while streamlining administrative processes. Their services often include prior authorization, clinical review, and education for both patients and healthcare professionals.

What are the key skills and qualifications needed to thrive as a Utilization Review Nurse at HealthHelp?

To excel as a Utilization Review Nurse at HealthHelp, you need a current RN license, strong clinical background, and expertise in medical necessity criteria and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of CMS regulations are typically required. Critical thinking, attention to detail, and effective communication are vital soft skills for collaborating with physicians and insurance providers. These competencies ensure accurate case evaluations, regulatory compliance, and optimal patient outcomes within managed care environments.

What are some common challenges faced when working at HealthHelp, and how can new employees prepare for them?

One common challenge at HealthHelp is adapting to the fast-paced environment and rapidly changing healthcare regulations. New employees should be prepared to handle high volumes of information and multi-task between various cases and systems. Effective communication and collaboration with clinical and administrative teams are essential, as the role often involves coordinating care and ensuring compliance. Proactively seeking feedback and utilizing available training resources can help new hires acclimate more quickly and perform confidently.

What is the difference between Healthhelp vs Medical Billing Specialist?

AspectHealthhelpMedical Billing Specialist
CredentialsTypically requires healthcare or insurance-related certificationsRequires coding and billing certifications, such as CPC or CCS
Work EnvironmentHealthcare facilities, insurance companies, or third-party billing servicesMedical offices, hospitals, or billing companies
Industry UsageUsed in healthcare and insurance sectorsPrimarily in healthcare billing and coding
Job FocusManaging insurance claims, authorizations, and patient dataProcessing medical bills, coding diagnoses, and ensuring accurate billing

While both roles operate within the healthcare financial ecosystem, Healthhelp focuses on insurance authorizations and claims management, whereas Medical Billing Specialists handle billing and coding processes. Understanding these differences helps job seekers identify the right career path in healthcare administration.

What cities near Houston, TX are hiring for Healthhelp jobs?

Cities near Houston, TX with the most Healthhelp job openings:

Infographic showing various Healthhelp job openings in Houston, TX as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Client Service Representative - Operations

HealthHelp

Houston, TX • On-site

$15.25 - $20.75/hr

Other

Re-posted 16 days ago


Job description

Client Service Representative - Operations

Conducts administrative intake and scripted clinical intake of calls for clinical review. Provides quality customer service through interaction with providers, administrative staff and others. Builds and maintains customer satisfaction with products and services; provides excellent service to internal and external customers. Collects and enters confidential information ensuring the highest level of confidentiality in all areas. Maintains high-quality documentation standards when collecting and performing data entry functions. Provides ongoing telephonic support to providers and office staff related to HealthHelp's Clinical Review process. Provides administrative support to the Clinical Review Department if needed. Participates and understands scope of responsibility pertaining to ongoing Quality Initiative Projects. Maintains acceptable levels of performance for all Key Performance Indicators, such as Average Talk Time (ATT), Quality, and adherence to schedule. Participates in the HealthHelp Quality Management Program as required. Adheres to all HIPAA, state and federal regulations pertaining to the clinical programs. Adheres to both URAC & NCQA standards in keeping with HealthHelp's compliance initiatives. Carries out other projects and responsibilities as assigned.

High School Diploma/GED, required. Minimum One (1) year of Healthcare customer service (call center) experience required. Ability to hard line internet into computer equipment provided, required. Internet upload speed of 5 mbps and download of 25 mbps, required (verified at onboarding). Ability to adhere to strict schedule with ability to adapt to schedule changes, as schedules are subject to change, required. Prior experience in a fast-paced in-bound call center environment, preferred. HIPAA compliant room, required (verified at onboarding). Prior experience in the healthcare industry (i.e., prior authorizations, patient care, CPT codes, etc.), preferred. Ability to read clinical terminology with high levels of proficiency. Ability to work efficiently in a fast-paced, high call volume, performance driven Contact Center. MS Outlook and Windows proficiency. Ability to work on dual monitors and navigate multiple software applications simultaneously. Strong time management skills. Highly skilled at delivering client and customer satisfaction. Must possess strong verbal and written communication skills.

Ability to wear a headset for 8 hours a day, required. Ability to respond quickly to instructions in a fast-paced work environment, required. Ability to talk without voice restrictions for 8 hours a day, required. Ability to sit for extended periods of time without a break, required.