Denials Specialist, Hospital Claims

Job overview

The Denials Specialist role is fully onsite in downtown Houston, TX, with pay of $26–$28 per hour. Addison Group is partnering with a professional services organization for this hospital billing position. The specialist manages hospital UB-04 claims from follow-up through resolution, focusing on denial recovery. The role investigates complex reimbursement issues, handles denials and appeals, and supports accurate documentation and compliance while communicating with internal stakeholders.

What you'll do

• Review and resolve denials for hospital UB-04 claims
• follow up with commercial payors
• investigate technical claim issues
• manage denials and appeals, primarily denial recovery
• handle No Surprises Act and out-of-network collections and disputes
• analyze adjudication trends
• maintain documentation and compliance
• communicate with internal stakeholders.

What we're looking for

Skills & competencies

denials specialist

houston tx

addison group

hospital billing

ub-04 claims

denial management

commercial payors

no surprises act

out-of-network collections

$26–$28 per hour

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, vision, and life insurance
• 401(k)
• parking covered or stipend option available.

Why this role

Requires five or more recent years of hospital UB-04 claims experience, No Surprises Act and out-of-network collections experience, and substantial commercial payor experience. Schedule is Monday–Friday, 8:00 a.m.–5:00 p.m., with flexibility for 7:30 a.m.–4:00 p.m.

About the employer

Addison Group is hiring for this role. Industry: Administrative Management and General Management Consulting Services. Sector: 54.