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Hospital Insurance Jobs in Houston, TX (NOW HIRING)

PFS Group

Insurance Appeals Rep

Houston, TX · On-site

JOB SUMMARY Under the supervision of the Insurance Supervisor, the Insurance Appeals Representative will work high dollar or complex denials for hospital insurance claims. The Appeals Representative ...

Cole Veterinary Hospital, LLC

Hospital Manager

Spring, TX · On-site

$60 - $80/hr

Cole Veterinary Hospital at Harmony in Spring, TX, is recognized worldwide as a leader in ... We offer comprehensive coverage options including Medical, Dental, and Vision insurance, along with ...

New

AccessHealth

Billing Specialist I

Richmond, TX · On-site

$15.75 - $21.25/hr

Responsible for audit of medical, dental, behavioral, and hospital insurance claims for accuracy and timely electronic submission of claims through practice management system. Responsible for ...

AccessHealth

Billing Specialist I

Richmond, TX · On-site

$15.75 - $21.25/hr

Responsible for audit of medical, dental, behavioral, and hospital insurance claims for accuracy and timely electronic submission of claims through practice management system. Responsible for ...

TriCom Quest

Be Seen First

Project Logistics Manager - Heavy Haul, Barge, Rail, and Project Cargo

Houston, TX · On-site

$120K - $125K/yr

Medical, Dental, Vision, HSA/FSA, Life & AD&D, optional disability, pet/legal/hospital insurance, Paid holidays + generous PTO, 401(k) with company match Requirements for Project Manager - Project ...

Kids Empire Texas LLC

Park Assistant Manager

Katy, TX

$16.80/hr

Voluntary Supplemental Accident and Hospital Insurance * Employee Assistance Program (EAP) * Voluntary Life Insurance * Free Group Basic Life and AD& D Insurance * Pet Insurance * Recreational ...

Kids Empire US LLC

Park Assistant Manager

Houston, TX · On-site

$16.80/hr

Voluntary Supplemental Accident and Hospital Insurance * Employee Assistance Program (EAP) * Voluntary Life Insurance * Free Group Basic Life and AD& D Insurance * Pet Insurance * Recreational ...

Kids Empire US LLC

Park Assistant Manager

Pasadena, TX · On-site

$16.80/hr

Voluntary Supplemental Accident and Hospital Insurance * Employee Assistance Program (EAP) * Voluntary Life Insurance * Free Group Basic Life and AD& D Insurance * Pet Insurance * Recreational ...

Kids Empire US LLC

Park Assistant Manager

Katy, TX · On-site

$16.80/hr

Voluntary Supplemental Accident and Hospital Insurance * Employee Assistance Program (EAP) * Voluntary Life Insurance * Free Group Basic Life and AD& D Insurance * Pet Insurance * Recreational ...

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All JobsHospital Insurance JobsHospital Insurance Jobs in Houston, TX

Hospital Insurance information

See Houston, TX salary details

$22.4K

$56.4K

$93.1K

How much do hospital insurance jobs pay per year?

As of Sep 3, 2026, the average yearly pay for hospital insurance in Houston, TX is $56,434.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,700.00 and $74,000.00 per year, depending on experience, location, and employer.

What is hospital insurance and what does it cover?

Hospital insurance, often referred to as health insurance or inpatient coverage, is a type of insurance policy that helps pay for expenses related to hospital stays. It typically covers room and board, nursing care, diagnostic tests, surgery, and other services provided while you are admitted as an inpatient. Hospital insurance may also cover some outpatient services, but its main focus is on hospitalization costs. The extent of coverage depends on the specific plan, so it's important to review policy details to understand what is and isn't included.

What are the key skills and qualifications needed to thrive as a hospital insurance specialist, and why are they important?

To thrive as a Hospital Insurance Specialist, you need in-depth knowledge of healthcare billing and coding, insurance claims processing, and familiarity with regulations such as HIPAA, often supported by a relevant associate degree or certification (e.g., CPC, CPB). Proficiency with medical billing software, electronic health records (EHR), and payer portal systems is essential. Strong attention to detail, problem-solving abilities, and effective communication skills help specialists resolve claim issues and interact with patients and insurers. These skills ensure accurate claim submissions, timely reimbursements, and compliance with healthcare regulations, which are critical for hospital revenue and patient satisfaction.

What are some common challenges faced by hospital insurance professionals when coordinating claims with healthcare providers?

Hospital insurance professionals often encounter challenges such as navigating complex medical billing codes, ensuring timely and accurate documentation from healthcare providers, and resolving discrepancies between what was billed and what is covered. Effective coordination requires strong communication skills to clarify information with medical staff and to advocate for patients’ coverage. Additionally, staying up-to-date with frequently changing regulations and policies is crucial to minimize claim denials and ensure compliance.

What is the difference between Hospital Insurance vs Medical Billing Specialist?

AspectHospital InsuranceMedical Billing Specialist
CredentialsTypically requires health insurance knowledge, certifications like AHIP or HIPAA complianceRequires coding certifications (CPC, CCS), billing software proficiency
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, healthcare providers
Industry UsageInsurance providers, healthcare facilitiesHealthcare providers, billing services

Hospital Insurance focuses on managing and administering health insurance plans, including policy coverage and claims processing. Medical Billing Specialists handle the coding, billing, and reimbursement processes for healthcare services. While both roles are essential in healthcare finance, Hospital Insurance professionals primarily work with insurance policies and claims, whereas Medical Billing Specialists focus on translating medical services into billable codes and ensuring accurate payments.

What are popular job titles related to Hospital Insurance jobs in Houston, TX?

For Hospital Insurance jobs in Houston, TX, the most frequently searched job titles are:

What job categories do people searching Hospital Insurance jobs in Houston, TX look for?

The top searched job categories for Hospital Insurance jobs in Houston, TX are:

What cities near Houston, TX are hiring for Hospital Insurance jobs?

Cities near Houston, TX with the most Hospital Insurance job openings:

Hospital Insurance jobs near you
Infographic showing various Hospital Insurance job openings in Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 18% Part Time, 2% Temporary, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $56,434 per year, or $27.1 per hour.

Insurance Appeals Rep

PFS Group

Houston, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 18 days ago

Job description

JOB SUMMARY

Under the supervision of the Insurance Supervisor, the Insurance Appeals Representative will work high dollar or complex denials for hospital insurance claims. The Appeals Representative will be responsible for reviewing basic clinical documentation and relevant payer guidelines to draft timely and effective appeals. They will be measured on appeals success and denials overturn rate, working to improve cash collections on behalf of their client(s). The Appeals Representative may directly write appeals or act as a consultant for other Insurance Reps, assisting them with referencing clinical or payer guidelines. They may be expected to share payer updates with Insurance teams or provide occasional information sessions to department trainer or representatives. They will prioritize work based on feedback from their leadership in order to best impact performance metrics.

ESSENTIAL FUNCTIONS

  1. Demonstrate extensive knowledge of insurance follow-up and denials.
  2. Act as the subject matter expert for appeals on their team.
  3. Triage and determine denial reasons from remittance advice, explanation of benefits, payer portals, or other avenues of information.
  4. Research pertinent payer medical policy bulletins and billing guidelines, creating a repository of reference materials for themselves and other team members.
  5. Prioritize work effort by viability and amount of payment to maximize cash.
  6. Track payer issues and escalations to provide relevant trending information to leadership.
  7. Follow appeals to resolution to assess effectiveness.
  8. Create job aids and share information on appeals language as needed.
  9. Practice compliant billing and follow-up strategies for all government and managed care payers.
  10. Meet minimum of 10 appeals per day, as well as any follow-up needed on existing appeals.
  11. Aggressively seek to resolve unpaid balances.
  12. Document all efforts accurately and thoroughly.
  13. Follow all workflow protocols.
  14. Work other insurance inventory as assigned or as volume demands.

KNOWLEDGE, SKILLS, AND ABILITIES

  1. Outstanding research and follow-up skills.
  2. Deep knowledge of denial types and causes.
  3. Ability to research commercial, managed care, and government payer guidelines and reference language in all appeals.
  4. Ability to read and interpret remittance advice/explanation of benefits.
  5. Strong written and verbal communication skills, especially when drafting appeals or creating workflow templates for teammates.
  6. Self-motivation and ability to work autonomously.
  7. Basic analytics, to include Microsoft Excel.

EDUCATION AND EXPERIENCE

  1. At least 6 months as an Insurance Representative at PFS Group, or 12 months of equivalent experience from a comparable organization.
  2. At least 2 years of hospital insurance follow-up or denials experience.
  3. Epic experience, with strong preference toward HB, required.

Preferences 

  1. CUBS experience

PFS Group

Nationwide Patient Account Management Firm.

Based in Houston, Texas, we currently work with 32+ clients who operate more than 100 hospital facilities from small, rural community medical centers to metro population center health systems. Leaders in their respective markets and nationwide, our clients rely on our services to support their accounts receivable departments.

PFS Group offers a friendly, caring work environment, with competitive benefits and compensation, (medical, dental, vision, short and long-term disability, life insurance, hospital indemnity, critical illness, accident insurance and a matching 401(k) and Zayzoon!

If you are looking for a position in a dynamic, fast-paced organization with career growth opportunities, come grow with us! www.pfsgroup.org

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