Denials Specialist
Houston, TX
Category: Healthcare
Reference ID: 10065248
Shortcut: http://addisongroup.gosnaphop.com/H96VbI
Job Title: Denials Specialist
Location: Houston, TX (Downtown)
Industry: Healthcare / Revenue Cycle Management
Pay: $26.00 - $28.00 / Hourly
Job Type: Direct Hire
Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.
About Our Client:
Addison Group is partnering with a professional services organization seeking an experienced Denials Specialist with strong hospital billing expertise. This role is ideal for a high-level collector who understands complex technical claims, payor guidelines, and regulatory requirements including NSA and out-of-network billing.
Job Description:
The Denials Specialist will manage hospital UB-04 claims from follow-up through resolution, with a heavy focus on denial management. This position requires advanced knowledge of commercial payors, strong analytical skills, and experience navigating complex reimbursement issues involving out-of-network and regulatory considerations.
Key Responsibilities:
- Review and resolve denials related to hospital (UB-04) claims.
- Conduct detailed payor follow-up with major commercial insurance carriers.
- Investigate technical claim issues and determine appropriate next steps for resolution.
- Manage both denials and appeals, with a primary focus on denial recovery.
- Handle NSA (No Surprises Act) and out-of-network (OON) collections and dispute processes.
- Analyze claim adjudication trends and identify patterns in payor behavior.
- Ensure proper documentation and compliance throughout the resolution process.
- Work independently while maintaining communication with internal stakeholders.
Qualifications:
- 5+ years of hospital claims experience required.
- Strong background working with UB-04 claims.
- Extensive experience managing denials (more denial-focused than appeals).
- Experience with NSA and out-of-network (OON) collections required.
- Heavy commercial payor experience strongly preferred.
- High-level collector with strong analytical and problem-solving skills.
- Ability to interpret complex EOBs and technical claim data.
Additional Details:
- Schedule: Monday–Friday, 8:00am–5:00pm
- Assignment Type: Direct Hire
- Work Model: Fully onsite
- Environment: Professional office setting
- Dress Code: Business casual
- Start Date: ASAP
Perks:
- Stable, high-level role focused on complex hospital claims
- Opportunity to work in a specialized, payor-heavy environment
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
IND 004-007
-
Medical Collector
Plano, TX
Position: 1 LTACH Commercial Collector 1 Outpatient Collector Location: Remote (Candidates must reside in San Antonio, TX) Openings: 2 Pay Rate: $24–$26/hour Hours: Flexible start between 7–9 AM, 8-hour workday Position Summary: These roles support ful...
Recommended
-
Medical Collections Specialist (Outpatient)
San Antonio Metro Area, Texas
Job Title: Medical Collections Specialist (Outpatient) Industry: Healthcare Location (city, state): San Antonio, TX (Remote – must be local) Compensation: $24.00 – $28.00 / Hourly Benefits: This position is eligible for medical, dental, vision, and 401...
Recommended
-
Medical Collector
San Antonio, TX
Position: Medical Collections Specialist (Hospital/Insurance Follow-Up) Location: Remote (Must be based in San Antonio, TX) Pay Range: $24–$26 per hour Schedule: Monday – Friday, 7:30 AM – 4:00 PM Benefits: This position is eligible for medical, dental...
Recommended
-
Retina Billing Specialist
Southlake, TX
Position: Billing Specialist (AR Follow-Up) Location: Southlake, TX (Hybrid - T/W/TH in office) Pay Range: $24–$28 per hour Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST Employment Type: Direct Hire Benefits: This role is eligible for Medical, Denta...
Recommended
-
Bilingual Call Center Representative
Tysons, VA
Job Title: Dispute Resolution Specialist I (Bilingual English/Spanish) Industry: Call Center/Non-profit Location (city, state): McLean, VA (Hybrid role after training) Assignment Type: Contract-to-Hire (long-term contract with potential for conversion)...
Recommended
-
Call Center Representative
Rockville, MD
Job Title: Call Center Representative Industry: Benefits / Healthcare Location: Rockville, MD Assignment Type: Contract-to-Hire (6 months to conversion) Pay: $23 – $25 / Hour Work Schedule: Full-time, 5 days onsite. Training schedule 8:00 AM – 5:00 PM....
Recommended
-
Medical CSR Supervisor
Boardman, OH
Job Title: Medical CSR Supervisor Location (city, state): Boardman, OH (Onsite) Industry: Healthcare Pay: $65,000 – $80,000 annually Benefits: This position is eligible for Medical, 401k, and PTO About Our Client: Addison Group is hiring a Scheduling S...
Recommended
-
Insurance Verification Specialist
Phoenix, AZ
Job Title: Insurance Verification Specialist Location (city, state): Phoenix, AZ (Biltmore area) Industry: Healthcare / Insurance Pay: $20-21/hour About Our Client: Addison Group is actively hiring an Insurance Verification Specialist for one of our he...
Recommended
-
Insurance Verification Specialist
Minnesota
Job Title: Insurance Verification Specialist Location (city, state): Shakopee, MN Hours: Monday-Friday 8AM-430PM Industry: Healthcare Pay: $20 - $25 per hour Job Description: The Patient Access Specialist plays a vital role in ensuring seamless access ...
Recommended
-
Healthcare Payor Consulting Program Manager, (Remote, MUST be in USA)
Vienna, VA
Position: Healthcare Payor Consulting Program Manager Location: 100% USA Remote (Must be based in Mainland USA able to work EST/CST) Length: Long-Term Contracting, 12+ Months (likely extensions) Target Pay Range: $78 - $88 / Hour Work Auth: (TN, EAD-GC...
Recommended
-
Network Engineer
Houston, TX
Role: Network Engineer Location: Houston, TX Pay Range: $80,000- $95,000 / year Benefits: This position is eligible for medical, dental, vision and 401(k). Support and maintain enterprise network infrastructure to ensure reliability, performance, and s...
Recommended
-
Portal Billing Specialist
Charlotte-Gastonia-Rock Hill Metro Area, North Carolina
Job Title: Portal Billing Specialist (Contract-to-Hire) Location (city, state): Charlotte, NC (Onsite) Pay: $23–$25/hour (up to $26/hour for highly qualified candidates) Benefits: This position is eligible for health, dental, vision, insurance, and 401...
Recommended
-
Field Network Specialist
Tulsa, OK
Role: Field Network Specialist Location: Tulsa, OK Pay Rate Range: $70-80,000/annually Are you looking for a growth opportunity for a reputable company with a positive work environment? Our client is looking for a Field Network Specialist to join their...
Recommended
-
Billing Specialist
Seattle-Bellevue Metro Area, Washington
Job Title: Billing Specialist Location (city, state): Seattle, WA (hybrid) Compensation: $25-40/hour Benefits: This position is eligible for medical, dental, vision, and 401(k). Qualifications: ~5+ years of legal billing or AR experience within a law f...
Recommended
-
Collections Agent
Denver, CO
Collections Specialist - Denver, CO (in-office) Hourly pay rate: $23-25/hr + bonuses Benefits: This position is eligible for health, dental, vision, insurance, and 401(K). Responsibilities: Handle a high volume of inbound and outbound collection calls ...
Recommended
-
Collections Specialist
Irving, TX
Job Title: Collections Specialist Location: Irving, Texas Compensation: $25 - $30 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k). Job Summary We are seeking an experienced Collections Specialist to join our growing f...
Recommended
-
Precertification Specialist
Albany, GA
Job Title: Precertification Specialist Location: Albany, GA (Onsite) Compensation: $16–$22/hour Benefits: This position is eligible for medical, dental, vision, and 401(k). Job Description: Addison Group is hiring on behalf of our client for a Precerti...
Recommended
-
Accounting Specialist
Oklahoma City Metro Area, Oklahoma
Position: Accounting Specialist Location: Oklahoma City, OK Assignment Type: Direct-hire Compensation: $40,000 - $50,000 / year DOE Benefits: This company offers full benefits including Insurance, 401k, PTO. Accounting Specialist Job in Oklahoma City, ...
Recommended
-
Revenue Cycle Analyst
San Antonio, TX
Revenue Cycle Analyst Pay: $24–$28 per hour Job Type: Contract-to-Hire Location: Remote (Must reside in San Antonio, TX area) Benefits: This position is eligible for medical, dental, vision, and 401(k). About the Role Addison Group is seeking an experi...
Recommended
-
Bilingual Patient Enrollment Specialist
New Haven, CT
Job Title: Bilingual Patient Enrollment Specialist Location: Remote (Local to CT) Industry: Healthcare / Hospital Pay: $21 – $25 / Hour Benefits: The position is eligible for medical, dental, vision, and 401(k). About Our Client: Our client is a lead...
Recommended
-
Billing & Collections Specialist
Denver Metro Area, Colorado
Position: Billing & Collections Specialist Location: Centennial, CO (Hybrid, in-office) Salary: $55,000-60,000, DOE Benefits: This position is eligible for health, dental, vision, insurance, and 401(K). The Billing & Collections Specialist is responsib...
Recommended
-
(Remote, MUST be in USA) - Network Compliance Engineer (Alaska Timezone))
Alaska
Position Title: Network Compliance Engineer Location:USA Based Remote Remote - working Alaska Standard Time Assignment Type: 6 month - Contract to Hire Pay Rate: $65.00 - $70.00 / Hourly Benefits: This position is eligible for medical, dental, vision, ...
Recommended
-
Accounts Payable Specialist
Oklahoma City, OK
Position: Accounts Payable Specialist Location: Oklahoma City, OK Assignment Type: Contract (With possibility of hire) Compensation: $18-$20 /hour DOE Benefits: This position is eligible for medical, dental, vision, and 401(k). Accounts Payable Special...
Recommended
-
Learning and Development Specialist
Erie, PA
Job Title: Learning and Development Specialist Industry: Corporate / Professional Services Location: Erie, PA Employment Type: Direct-hire Salary Range: $60,000 - $65,000 Work Schedule: Full-time, Monday–Friday onsite Benefits: This position is eligibl...
Recommended
-
Benefits Administrator
Irving, TX
Job Title: Benefits Administrator Location (City, State): Dallas, TX Work Schedule: Full-Time, Standard Business Hours Type of Employment: Direct Hire Compensation: $60,000 - $70,000 Industry: Distribution Benefits: This position is eligible for a comp...
Recommended
-
Network Architect
New York, NY
Times Square - onsite 4x/week Salary- $120-150,000 + bonus One of our clients is needing a Network Architect to join their team. You'll focus on deploying IPv6, enhancing security, delivering training on best practices, and providing architectural guid...
Recommended
-
Accounts Payable Specialist, Basware
Denver, CO
Accounts Payable Specialist, Basware - Denver, CO (in-office) Salary: $60,000 - $65,000, DOE Benefits: This position is eligible for health, dental, vision, insurance, and 401(K). Responsibilities: Process high-volume, full-cycle AP invoices on a daily...
Recommended
-
Senior Payroll Specialist
Minneapolis, MN
Job Title: Senior Payroll Specialist Location: Greater Minneapolis/St. Paul area, MN (hybrid role; local candidates only) Pay Rate: $75,000 - $85,000 annually Benefits: This position is eligible for medical, dental, vision, and 401(k), pet insurance, P...
Recommended
-
Accounts Payable Specialist
Atlanta, GA
Role: Accounts Payable Specialist Location: Smyrna, GA Position Type: Contract Pay: $30.00 - $35.00 / Hourly Benefits: This position is eligible for medical, dental, vision and 401(K). Core Values: Collaboration: Takes ownership for collectively establ...
Recommended
-
Credentialing Specialist
Addison, TX
Position: Credentialing Specialist Location: Addison, TX (Onsite) Pay Range: $23.00 – $26.50 per hour Schedule: Monday – Friday, Full-Time Benefits: This position is eligible for medical, dental, vision, and 401(k). Employment Type: Contract (Minimum 9...
Recommended