Location: Houston Type: Direct Hire Job #10321 Prior Authorization Specialist (fully remote, must reside in Texas) Why V3 Group: Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills! Job Scope: The Prior Authorization Specialist is responsible for obtaining prior authorizations and recurring authorizations for assigned patient accounts, while communicating with payers, providers, and patient/patient families when needed. Requirements: 2+ years of prior authorization experience 2+ years of insurance verification 2+ years working with an EMR or Practice Management Software Demonstrated an ability to problem solve collaborate in a team setting Compensation: $15/hr – $19/hr based upon skills and experience. For more information about this opportunity and to explore other positions, please visit our website at v3recruiters.com. Apply Now
Prior Authorization Specialist (fully remote, must reside in Texas)
Why V3 Group:
Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and […]
Location: Houston Type: Direct Hire Job #10300 Title: Operations Analyst Location: Houston, Texas (Energy Corridor) Schedule: Onsite (Monday-Thursday 8-5:30 and Friday 8-3) Overview We’re a company founded on the belief that individuals matter. Your ideas count, your contributions are valued, and your growth is our priority. As part of the VC5 team, you’ll be more than just an employee—our vision has always been to create an employee-owned organization to build business people and entrepreneurs. VC5 Consulting is the fifth venture by industry leaders Whitney and Phil Vanderslice. Expect a casual, collaborative environment where hard work is rewarded and personal growth is encouraged. Operations Analyst Job Description We are seeking two highly motivated individuals to join our operations team. Our operations analysts will be responsible for providing essential support to various departments within the company by analyzing data, improving processes, and contributing to overall operational efficiency. Responsibilities: Conduct data analysis to identify trends, patterns, and areas for improvement. Develop and implement process improvement initiatives to enhance operational efficiency. Provide administrative support, including data entry, recordkeeping, and report generation. Collaborate with cross-functional teams to gather requirements and implement solutions. Assist with special projects and ad-hoc requests as needed. Qualifications: Bachelor's degree required. Strong analytical and problem-solving skills. Proficieny in softwares (Excel, Google Suite, etc) Excellent organizational and time management skills. Strong attention to detail and accuracy. Ability to work independently and as part of a team. Note: This position requires a high level of flexibility and adaptability as duties may vary depending on the needs of the department. Our commitment to employee satisfaction is evident in our numerous awards, including being named to the Inc. 5000 Fastest-Growing list two years in a row and recognized as a Best Place to Work by multiple Publications and Business Journals. The partners of VC5 Consulting are industry leaders with a proven track record of success. Our mission, as an organization, is all about our people: We look to build and empower leaders, transform lives, and fuel success. Apply Now
Location: Houston Type: Direct Hire Job #10299 Title: Business Development Manager Location: Houston, Texas (Energy Corridor) Schedule: Onsite (Monday-Thursday 8-5:30 and Friday 8-3) Overview Tired of feeling like a nameless number in a corporate machine? We get it. Endless bureaucracy, stifling hierarchies, and the constant grind can be soul-crushing. At VC5 Consulting, we've built something different. We’re a company founded on the belief that individuals matter. Your ideas count, your contributions are valued, and your growth is our priority. As part of the VC5 team, you’ll be more than just an employee—our vision has always been to create an employee-owned organization to build business people and entrepreneurs. VC5 Consulting is the fifth venture by industry leaders Whitney and Phil Vanderslice. We have business coaches, not managers. Expect a casual, collaborative environment where hard work is rewarded and personal growth is encouraged. Responsibilities Business Development Managers at VC5 Consulting are responsible for generating new business and managing existing client relationships. Your primary focus will be to understand client needs, develop tailored solutions, and exceed sales targets. Prospect and identify potential clients through various channels (e.g., networking, cold calling, referrals). Build and maintain strong relationships with clients. Conduct needs assessments to understand client requirements. Develop and present customized solutions to meet client needs. Negotiate contracts and close deals. Collaborate with internal teams to ensure client satisfaction. Achieve and exceed sales quotas. Qualifications We are seeking individuals with a strong sales drive, excellent communication skills, and a passion for building relationships to join our team at VC5 Consulting. Recent graduate or early career professional preferred, but not required. Strong communication and interpersonal skills. Ability to build rapport and trust with clients. Self-motivated and results-oriented. A desire to learn and grow in a sales role. Compensation & Benefits VC5 Consulting offers a competitive compensation package, including a base salary, a competitive commission structure, bonuses, and exceptional earning potential. Our compensation package is the most competitive structure in the country. Our team members consistently achieve an OTE of $100,000+ by their third year. We also offer a yearly all-expenses-paid trip for top producers to exciting destinations (previous trips include Vail and Mexico). Beyond compensation, VC5 Consulting provides a unique and rewarding work environment. We foster a collaborative and supportive culture where everyone has a voice. We believe in promoting from within and offer exceptional training and development opportunities to help you succeed. Our commitment to employee satisfaction is evident in our numerous awards, including being named to the Inc. 5000 Fastest-Growing list two years in a row and recognized as a Best Place to Work by multiple Publications and Business Journals. The partners of VC5 Consulting are industry leaders with a proven track record of success. Our mission, as an organization, is all about our people: We look to build and empower leaders, transform lives, and fuel success. Our goal is to identify the best talent, elevate their skills, and foster growth in their career. Apply Now
Location: Houston Type: Direct Hire Job #10255 Medical Collector – Onsite Houston Galleria area Why V3 Group: Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills! Job Scope: The Medical Collector is responsible for the follow-up and collection of assigned patient accounts by contacting, insurance companies, patients, and government payors to resolve all outstanding balances. *Remote position, must reside in Texas. Requirements: 3+ years of medical billing or medical collections experience 2+ years of appeals 2+ years working with an EMR or Practice Management Software Demonstrated an ability to problem solve collaborate in a team setting Key Words: appeals, denials, medical collections, patient accounts, medical billing, revenue cycle For more information about this opportunity and to explore other positions, please visit our website at v3recruiters.com. Apply Now
Why V3 Group:
Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills!
Location: Houston Type: Direct Hire Job #10230 VC5 Consulting is a dynamic and forward-thinking consulting firm specializing in delivering strategic solutions for clients in the fields of accounting, finance, and IT. Our experienced team of consultants collaborates closely with clients to provide tailored solutions that drive business growth and success. Location: Houston, Texas (onsite) Position Overview: We are currently seeking a highly driven and sales-oriented Business Development Manager to join our team. This role is ideal for a proactive and ambitious individual who thrives in a sales environment and excels in cultivating strategic client relationships. The Business Development Manager will play a pivotal role in driving sales, conducting market research, and developing tailored solutions for our clients. This person will primarily focus on calling and working the Dallas territory. If you have a passion for strategic consulting and building long-term client partnerships, we want to hear from you! Responsibilities: Identify new business prospects and generate leads to drive consulting opportunities. Cultivate strong partnerships with clients, delivering tailored solutions that support their business objectives. Provide strategic guidance throughout the consulting process, from initial client meetings to project delivery. Manage a diverse portfolio of clients, focusing on understanding their unique needs and delivering impactful solutions. Provide mentorship and support to junior consultants, fostering their professional growth and development. Contribute to the development of consulting proposals, crafting strategic recommendations tailored to client needs. Engage in negotiations regarding consulting agreements and terms of engagement. Requirements: Bachelor’s degree preferred. Some familiarity with the consulting process preferred. Experience with client relationship management and strategic consulting is advantageous. Strong organizational skills and attention to detail. Excellent communication and interpersonal skills, with the ability to build rapport with clients and colleagues. Goal-oriented mindset, with a drive to achieve objectives and exceed expectations. Adaptability and coachability, with the ability to thrive in dynamic environments and think creatively to solve problems. Benefits: Competitive entry-level compensation with commission and bonus opportunities. Comprehensive benefits package, including 401k, medical, dental, and vision coverage. Opportunities for career growth and development within a supportive and collaborative company culture. Training and mentorship from experienced consulting professionals to support your professional development and success. #10230 Apply Now
VC5 Consulting is a dynamic and forward-thinking consulting firm specializing in delivering strategic solutions for clients in the fields of accounting, finance, and IT. Our experienced team of consultants collaborates closely with […]
Location: Houston Type: Contract To Hire Job #10163 MEDICAL ASSISTANT Why V3 Group: Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills! Job Scope: At V3 the Medical Assistant position is responsible for assisting in the examination and treatment of patients under the direct supervision of the clinical leadership. Assists with patient examinations, procedures, and treatments. Performs general administrative duties, including but not limited to, patient scheduling, phone triage, and insurance verification/precert. Documents in patient's electronic medical record (EMR). Prepares treatment rooms for examination of patients. Assists with maintaining equipment and supplies. Position Requirements: Two years of Medical Assistant experience in a clinic setting. Certifications: RMA or CMA Apply Now
Why V3 Group:
Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills!
Location: Houston Type: Direct Hire Job #10007 Clinical Documentation Improvement Specialist (Remote) Why V3 Group: Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills! Job Summary The Clinical Documentation Specialist communicates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients/residents. The CDS utilizes the hospital's designated clinical documentation system to identify opportunities for physician and hospital outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct diagnosis related group (DRG). Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team, and gathers and analyzes information pertinent to documentation findings and outcomes. Maintains working knowledge of DRGs and understanding of medical necessity process. Knowledgeable of federal, state, and other payers' regulations, requirements, and criteria. Qualifications Bachelor s degree in nursing required. Graduate from a nationally accredited nursing program preferred. CCDS certification required. Three years of recent clinical nursing experience required. Experience in case management, utilization management, and/or coding preferred. Currently holds an unencumbered RN license. Apply Now
Why V3 Group:
Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills!
Location: Houston Type: Direct Hire Job #10006 Inpatient Coder (Remote) Why V3 Group: Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills! Qualifications 2 years of inpatient coding in an acute hospital setting required. AHIMA coding credentials – CCS or RHIT Position Responsibilities Reviews and interprets health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require code and DRG assignment for proper billing. Assesses high risk quality cases to accurately trigger pre-bill coding review process. Abstracts and complies clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to guidelines. Validates and initiates correction on patient status, admit and discharge dates and discharge disposition for calculation of correct DRG and length of stay for correct reimbursement. Queries physician when documentation in the record is ambiguous, inadequate, unclear or incorrect for coding and compliance purposes. Apply Now
Why V3 Group:
Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills!
Location: Houston Type: Direct Hire Job #6641 Revenue Cycle Manager Why V3 Group: Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills! Job Scope: Prepare revenue cycle financial analysis including aged accounts. Monitor and assesses KPI’s in order to improve efficiencies. Analyze insurance denial trends and create front end edits/rules to help increase clean claim rate, reduce denial rates and increase cash collections. Maintains strong understanding of payor related changes across all states/markets Provide weekly status reports on projects Prepare data on payor denials Meet/exceed budget and profitability goals Position Requirements: Minimum of 5 years experience in healthcare medical Revenue Cycle environment College degree desired Prior presentation skills to Executive leadership teams on KPI and leadership priorities Excellent relationship building skills and aptitude for working collaboratively with cross-functional groups Strong working knowledge of payor denials and payors Requirements: 7+ years of medical billing or medical collections experience 3+ years of RCM management For consideration, simply click: “Apply Now” Apply Now
Why V3 Group:
Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills!
Location: Houston Type: Direct Hire Job #6640 HCC Risk Adjustment Coder (Remote) Why V3 Group: Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills! Scope of Work: Remote Independent Contractor HCC Risk Adjustment Coders provide services to perform code abstraction using the Coding Guidelines for ICD-9-CM/ICD-10-CM. Projects include Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation). Project Responsibilities: Perform code abstraction and/or coding quality audits of medical records to ensure ICD-9-CM/ICD-10-CM codes are accurately assigned and supported by clinical documentation Maintain current knowledge of ICD-9-CM/ICD-10-CM codes, CMS documentation requirements, and state and federal regulations Maintain a minimum 95% accuracy on coding quality audits Meet minimum productivity requirements as outlined by the project terms Handle other related duties as required or assigned Requirements: Certified Coder through AHIMA or AAPC 2-3+ years of HCC coding experience Apply Now
Why V3 Group:
Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills!
