Job Details
Resolution Specialist
2026-02-05 Medix Houston,TX
Description:
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
We're seeking a reliable denials manager to join a healthcare focused law firm in the Houston area. You will be analyzing health care insurance/litigation patient account files to identify trends and primary denial reasons to assist in litigation. You will be responsible for coordinating NSA/SB process and program expectations.
Schedule: On-site M-F 8-5
Location: Houston, TX
Key Responsibilities
- Keeps track of SB/NSA inventory and reporting back to clients using advanced Excel skills.
- Monitors and Maintains HIPAA compliance and PHI protection needs for both the Firm and Clients.
- Assesses the need to group Out of Network carrier claims to be handled in a group rather than individually.
- Communicates all issues (system, compliance, payor, behavior, workflow, or any other insurance collection opportunities) to management immediately.
- Must have above-average analytical and critical thinking skills.
- Must have the ability to problem-solve, prioritize duties, and follow through completely with assigned tasks.
- Manages & Facilitates the development of new process for Denial specialist.
- Other duties and projects as assigned.
- Bachelors Degree
- 3-5 years of related experience in healthcare denials
- 2 years of leadership/management/supervisor level
- Hospital billing experience
- 1-3 years of NSA experience
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.