<p>We are looking for a highly organized and resourceful Human Resources Specialist to join our client's team in Houston, Texas. This role requires a detail-oriented individual capable of managing recruitment, payroll processing, employee relations, and compliance tracking with precision and efficiency. You will play a key part in fostering a positive workplace environment while ensuring adherence to HR policies and procedures.</p><p><br></p><p>Responsibilities:</p><p>• Manage recruitment processes including sourcing candidates, conducting initial screenings, coordinating interviews, and supporting hiring decisions.</p><p>• Utilize job boards, social media platforms, referrals, and other networking tools to identify and attract top talent.</p><p>• Oversee onboarding and offboarding procedures to ensure smooth transitions for employees.</p><p>• Coordinate background checks, drug screenings, and maintain accurate personnel records.</p><p>• Process payroll efficiently and ensure accuracy using ADP systems.</p><p>• Facilitate open enrollment for employee benefits and provide guidance throughout the process.</p><p>• Address employee relations matters by resolving conflicts and handling disciplinary actions effectively.</p><p>• Monitor compliance with HR policies and prepare necessary reports to maintain regulatory standards.</p><p>• Support the implementation and management of HRIS systems to streamline administrative tasks.</p>
<p>We are seeking an experienced and detail‑oriented <strong>RCM Reimbursement Specialist</strong> focused on <strong>Appeals and Denials</strong> to join our team on a <strong>contract-to-hire</strong> basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul><p><br></p>