Denials Recovery Specialist I

United Health Services•Binghamton, NY

2d•$19 - $28•Onsite

About The Position

The Denials Recovery Specialist I at United Health Services (UHS) helps keep the revenue cycle moving by resolving denied insurance claims, managing accounts receivable, and preparing clear appeals for payor review. This role supports timely reimbursement, revenue integrity, and continued patient access by identifying claim issues, following established guidelines, and working closely with the revenue cycle team. The position is a strong fit for someone who values accuracy, teamwork, problem solving, and contributing to meaningful work that supports both patients and the organization.

Requirements

High School Diploma or equivalent
At least 1 year of direct experience performing the exact or very similar duties required by the job within the same role or function
Up to 1 year of healthcare experience working in the healthcare industry in any job function

Nice To Haves

Bachelor’s Degree

Responsibilities

Resolve denied insurance claims by reviewing accounts, identifying issues, and securing appropriate payment outcomes
Manage assigned work queues to ensure timely, accurate resolution of denied and aging accounts receivable
Prepare and submit formal reconsiderations and appeals to payors to support claim reprocessing and payment
Draft clear, accurate appeal letters and supporting documentation aligned with payor requirements
Perform denied claims and accounts receivable clean‑up activities to support revenue cycle performance
Accurately adjust denials in accordance with guidelines and goals
Contribute directly to organizational revenue integrity through effective resolution of denied claims
Exercise judgment within established guidelines to determine appropriate follow-up, escalation, and appeal actions
Analyze claim outcomes to identify trends related to payor behavior, system issues, and user errors
Share trend insights with leadership to support process improvement and denial prevention efforts
Perform all work in compliance with HIPAA regulations, payor policies, and organizational standards
Complete required training, education, and competency validations within established timelines
Maintain knowledge of revenue cycle practices, denial management processes, and payor requirements relevant to the role
Safeguard sensitive data by following established security policies and procedures, using systems responsibly, and promptly reporting potential security incidents, risks, or policy violations
As applicable to your role, support cybersecurity and data protection requirements throughout the supplier lifecycle by coordinating vendor risk assessments, monitoring third-party compliance, and promptly reporting identified supply chain or cybersecurity risks
Support onboarding and peer training activities to promote team effectiveness and knowledge sharing
Demonstrate UHS Values of Compassion, Trust, Respect, Teamwork, and Innovation in all daily work and interactions
Execute responsibilities in accordance with organizational policies, procedures, and applicable regulations
Perform additional responsibilities as required to meet department and organizational needs