Senior Billing Representative

Description We are looking for an experienced Medical Billing Specialist to support infusion-related billing and authorization activities in Houston, Texas. This Long-term Contract position focuses on insurance verification, prior authorization processing, benefit review, and patient estimate preparation in a fast-paced healthcare setting. The role requires close attention to documentation, clear communication with patients, and strong knowledge of payer guidelines and compliance standards.

Responsibilities:

- Confirm insurance coverage, eligibility, and benefit details for infusion-related services before treatment is scheduled or provided.

- Prepare and submit prior authorization requests with complete clinical and billing documentation to support timely payer review.

- Examine medical records and physician documentation to determine whether submitted information meets payer requirements for infusion services.

- Develop accurate patient cost estimates based on verified benefits, coverage limitations, and expected out-of-pocket responsibility.

- Communicate with patients to explain authorization status, insurance details, and anticipated financial responsibility in a clear and thorough manner.

- Coordinate with internal billing and clinical teams to resolve missing information, follow up on pending approvals, and prevent delays in service.

- Maintain accurate records of benefit verification, authorization activity, and patient communication while following HIPAA and PHI standards.

- Review payer responses and update account information to ensure billing workflows reflect the latest authorization and coverage outcomes. Requirements - Previous experience in medical billing, insurance verification, or authorization support within a healthcare environment.

- Working knowledge of infusion service billing processes and payer requirements for pre-service approval.

- Ability to read and interpret clinical documentation and apply it to authorization and billing needs.

- Familiarity with HIPAA, PHI handling, and other healthcare compliance expectations.

- Strong understanding of insurance benefits, coverage rules, and patient financial responsibility calculations.

- Effective verbal and written communication skills for interacting with patients and internal teams.

- High level of accuracy, organization, and follow-through when managing documentation and multiple open cases.

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit  for more information.

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