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.
-
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: $21.00 – $24.00 / 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 / Hour Schedule: Monday – Friday, 7:30 AM – 4:00 PM Benefits: This position is eligible for medical, dental...
Recommended
-
Insurance Follow-Up Representative (Medicaid)
Houston, TX
Job Title: Insurance Follow-Up Representative (Medicaid) Location: Houston, TX (West Houston) Industry: Healthcare / Revenue Cycle Pay: $21–$23 per hour Job Type: Contract-to-Hire Benefits: This position is eligible for medical, dental, vision, life in...
Recommended
-
Hospital Insurance Follow Up Representative
Chicago, IL
Job Title: Hospital Insurance Follow Up Representative Location (city, state): Chicago, IL Industry: Healthcare / Revenue Cycle Pay: $25 – $26 / hour , depending on experience Benefits: This position is eligible for Medical, Dental, Vision, and 401K be...
Recommended
-
Billing & Collections Analyst
Silver Spring, MD
Role: Billing & Collections Employment Type: Full-Time, Direct Hire Compensation: Salaried - $30-$34/hr (based on experience) Location: Silver Spring, MD Industry: Medical, Hospital, Healthcare Benefits: This position is eligible for medical, dental, v...
Recommended
-
Reimbursement Specialist
Westchester, IL
Job Title: Reimbursement Specialist Location: La Grange, IL Pay: $22 – $27 / hr Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits. Job Description Addison Group is partnering with one of our clients to hire a Reimburs...
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
-
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
-
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
-
Field Network Specialist
Tulsa, OK
Role: Field Network Specialist Location: Tulsa, OK Pay Rate Range: $70000 - $80000 / Year Benefits: This position is eligible for medical, dental, vision, and 401(k). Are you looking for a growth opportunity for a reputable company with a positive work...
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
-
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
-
Medical Insurance Collector
Houston, TX
Job Title: Medical Insurance Collector Location: Houston, TX (Galleria Area/MUST be local to Houston) Industry: Healthcare Revenue Cycle Management Pay: $18 - $22 / hr Benefits: This position is eligible for Dental, Vision, Medical, 401(k) benefits. Ab...
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
-
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
-
Bilingual Patient Enrollment Specialist, Long Term Care
New Haven, CT
Job Title: Long Term Care Bilingual Patient Enrollment Specialist Location: Remote (Local to CT) Industry: Healthcare / Hospital Pay: $24 – $30 / Hour Benefits: The position is eligible for medical, dental, vision, and 401(k). About Our Client: Our c...
Recommended
-
IT Support Specialist
Algoma, WI
Position Title: IT Support Specialist Location: Algoma, WI Job Type: Contract to Hire Pay Rate: $30.00 - $34.00 Hour / Range Based on Experience Benefits: This position may be eligible for medical, dental, vision, and 401(k). Position Overview IT Suppo...
Recommended
-
Hybrid Medical Biller
Phoenix, AZ
Job Title: Hybrid Billing Specialist (Phoenix AZ 85012) Location: Phoenix, AZ (Remote with occasional onsite) Industry: Healthcare/Behavioral Health Pay: $18 - $20 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k). Abou...
Recommended
-
Medical Biller
Broomfeild, CO
Job Title: Medical Biller Location: Broomfield, CO - hybrid after training Industry: Healthcare Pay: $20 - $23 / hr Benefits: This position is eligible for Medical, Dental, Vision, and 401K benefits. About Our Client: Our client is a specialized orthop...
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
-
AR Specialist
Oklahoma City, OK
Position: AR Specialist Location: Oklahoma City, OK Assignment Type: Contract-to-hire Compensation: $18 - $22 Per Hour DOE Benefits: This position is eligible for medical, dental, vision, and 401(k). We are working on an exciting AR Specialist Job in O...
Recommended
-
Compensation Specialist
Blue Bell, PA
Job Title: Compensation Specialist / Senior Compensation Specialist Location: Montgomery County, PA Job Type: Full-Time | Permanent | ON-SITE Compensation: $70,000 – $90,000 Benefits: Medical, Dental, Vision, 401k with company, 15 PTO days Are you a co...
Recommended
-
Payment Poster
Columbia, SC
Job Title: Payment Poster Location: Columbia, SC Compensation: $17 – $20 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits while on contract, with a strong benefits package available upon conversion. About the ...
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
-
Litigation Paralegal
Chevy Chase, MD
Job Title: Paralegal (Litigation) Industry: Banking / Financial Services Location (city, state): Remote (U.S.) Assignment Type: Contract (6+ months) Pay: $30–$35/hr (depending on experience) Work Schedule: Full-time, Monday–Friday (standard business ho...
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
-
Fee Schedule Specialist
Niagara Falls, NY
Job Title: Fee Schedule Specialist (Remote) Location (city, state): Remote (NYC) Industry: Managed Care / Insurance Services Pay: $23-25/HR Benefits: This position is eligible for medical, dental, vision, and 401(k). Job Description: The Fee Schedule S...
Recommended