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Denials Specialist Jobs (NOW HIRING)

Addison Group

Denials Specialist

Houston, TX · On-site

$26 - $28/hr

Denials Specialist Location: Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management Pay: $26-$28/hourly Job Type: Direct Hire Benefits: This position is eligible for medical, dental ...

Ensemble Health Partners, Inc.

Denials Specialist

$25/hr

This position pays between $ 18.65 to $25.00 / hr based on experience The Denials Specialist is responsible for clinically related claim denials across Ensemble Health Partners. Job duties include ...

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Denials Specialist information

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How much do denials specialist jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for denials specialist in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What is a denials specialist?

A Denials Specialist is a healthcare professional responsible for managing and resolving denied insurance claims. They analyze the reasons claims are denied, gather necessary documentation, and work with insurance companies and healthcare providers to appeal and overturn denials. Their role is crucial in ensuring that healthcare organizations receive proper reimbursement for services rendered. Denials Specialists also help identify trends in denials and recommend process improvements to reduce future claim rejections.

What are the key skills and qualifications needed to thrive as a denials specialist?

To thrive as a Denials Specialist, you need a strong understanding of medical billing, insurance claims processes, and healthcare regulations, often supported by experience in revenue cycle management or a relevant certification. Familiarity with claims management software, electronic health record (EHR) systems, and payer portals is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for resolving denied claims and collaborating with providers and payers. These skills ensure accurate, timely resolution of denials, optimizing revenue and maintaining compliance within healthcare organizations.

How does a denials specialist typically work with other departments to resolve insurance claim denials?

A Denials Specialist frequently collaborates with billing, coding, and clinical teams to gather the necessary documentation and information required to appeal denied claims. They often serve as a bridge between healthcare providers and insurance companies, investigating the reasons for denials and coordinating with various staff to resolve discrepancies. This role requires strong communication and teamwork skills, as Denials Specialists must ensure timely follow-up and accurate resubmissions to maximize reimbursement for the organization.

What is the difference between Denials Specialist vs Claims Processor?

AspectDenials SpecialistClaims Processor
CredentialsKnowledge of insurance policies, coding, and billingBasic understanding of claims submission and processing
Work EnvironmentHealthcare billing departments, insurance companiesMedical offices, hospitals, insurance companies
Job FocusAppealing denied claims, resolving billing issuesSubmitting and processing claims efficiently

While both roles involve handling insurance claims, a Denials Specialist primarily focuses on reviewing and appealing denied claims to recover payments, requiring detailed knowledge of insurance policies and coding. In contrast, a Claims Processor handles the initial submission and processing of claims, ensuring accuracy and timeliness. Both roles are essential in healthcare billing but differ in their specific responsibilities and focus areas.

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States with the most job openings for Denials Specialist jobs include:

What job categories do people searching Denials Specialist jobs look for?

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Denials Specialist jobs near you
Infographic showing various Denials Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Denials Specialist

Addison Group

Houston, TX • On-site

$26 - $28/hr

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 27 days ago

Job description

Job Title: Denials Specialist

Location: Houston, TX (Downtown)

Industry: Healthcare / Revenue Cycle Management

Pay: $26-$28/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.

Requirements:

  • 5+ recent years of hospital (UB-04) claims experience required.
  • Strong background working with UB-04 claims.
  • Extensive experience managing denials (more denial-focused than appeals).
  • Experience with NSA (No Surprises Act) and out-of-network (OON) collections required.
  • Heavy commercial payor experience required.
  • 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 (flexibility for 7:30am–4:00pm if needed)
  • Assignment Type: Direct Hire
  • Work Model: Fully onsite
  • Environment: Professional office setting
  • Dress Code: Business casual
  • Start Date: ASAP

Perks:

  • Competitive salary range
  • Parking covered or stipend option available
  • 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.