Denials Recovery Specialist I

United Health Services•Binghamton, NY

2d•$23 - $34

About The Position

The Denials Recovery Specialist I at United Health Services (UHS) supports revenue cycle operations by resolving denied insurance claims, managing accounts receivable, and preparing appeals for payor review. The role contributes to timely reimbursement, revenue integrity, and continued patient access by identifying claim issues, following established guidelines, and collaborating with the revenue cycle team. The specialist reviews and resolves denied and aging accounts, prepares reconsiderations and appeals, performs denial clean-up and adjustments, and analyzes claim outcomes for trends. The role requires compliance with HIPAA, payor policies, organizational standards, and security procedures. It also includes sharing trend insights, supporting process improvement, onboarding and peer training, and demonstrating UHS values in daily interactions.

Requirements

High school diploma or equivalent.
At least 1 year of direct experience performing the exact or very similar duties within the same role or function.
Up to 1 year of healthcare experience in any job function.

Nice To Haves

Bachelor’s degree.

Responsibilities

Review denied insurance claims, identify issues, and secure appropriate payment outcomes.
Manage assigned work queues to resolve denied and aging accounts receivable accurately and on time.
Prepare and submit formal reconsiderations and appeals to payors.
Draft accurate appeal letters and supporting documentation aligned with payor requirements.
Perform denied-claims and accounts-receivable clean-up activities.
Adjust denials in accordance with applicable guidelines and goals.
Use judgment within established guidelines to determine appropriate follow-up, escalation, and appeal actions.
Analyze claim outcomes for trends related to payor behavior, system issues, and user errors, and share insights with leadership.
Comply with HIPAA regulations, payor policies, organizational standards, and applicable regulations.
Complete required training, education, and competency validations within established timelines.
Maintain knowledge of revenue cycle practices, denial management processes, and relevant payor requirements.
Protect sensitive data by following security policies, using systems responsibly, and promptly reporting potential security incidents, risks, or policy violations.
As applicable, support cybersecurity and data-protection requirements across the supplier lifecycle, including vendor risk assessments and third-party compliance monitoring.
Support onboarding and peer training to promote team effectiveness and knowledge sharing.
Demonstrate UHS Values of Compassion, Trust, Respect, Teamwork, and Innovation.
Perform additional responsibilities as needed to meet department and organizational needs.

Benefits

Medical, dental, and vision coverage for employees working 24 or more hours per week, starting the first of the month after hire.
Discounted childcare through Bright Horizons.
Voluntary benefits including pet insurance, legal services, and identity theft protection.
Paid time off accrual beginning on the first day.
403(b) retirement plan with company match.
Flexible spending accounts.
Access to financial advisors.
Up to $400 per year in wellness rewards.
24/7 EAP counseling and virtual mental health support.
Food pantry and PTO donation program.
Professional attire through the Classy Closet.
Access to more than 100,000 online courses and leadership programs.
Tuition reimbursement, clinical ladders, and internal mobility opportunities.