Denials Recovery Specialist I

NY United Health Services • Binghamton, NY

9h

About The Position

The Denials Recovery Specialist I works in United Health Services’ Denials Recovery team within UHS Revenue Cycle Operations. The role resolves denied insurance claims, manages accounts receivable, and prepares reconsiderations and appeals for payor review. It supports timely reimbursement, revenue integrity, and patient access by identifying claim issues, applying established guidelines, and collaborating with the revenue cycle team.

The specialist reviews accounts and assigned work queues, follows up on denied and aging accounts, submits appeal materials, and performs denial adjustments and accounts receivable cleanup. The role also analyzes claim outcomes for trends and shares insights with leadership to support process improvement and denial prevention. Work must comply with HIPAA, payor policies, organizational standards, security procedures, and applicable regulations. The position includes supporting onboarding and peer training as needed.

This is a day-shift role with 40 regularly scheduled hours per week. Compensation is $19.37–$28.09 per hour, depending on experience.

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 and 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 cleanup activities to support revenue-cycle performance.
• Adjust denials accurately in accordance with guidelines and goals.
• Use 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, and share insights with leadership to support process improvement and denial prevention.
• Perform work in compliance 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.
• Safeguard sensitive data by following security policies and procedures, using systems responsibly, and promptly reporting potential security incidents, risks, or policy violations.
• As applicable, support cybersecurity and data-protection requirements throughout the supplier lifecycle by coordinating vendor risk assessments, monitoring third-party compliance, and reporting 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, and 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, beginning the first of the month after hire.
• Discounted childcare through Bright Horizons.
• Voluntary benefits including pet insurance, legal services, and identity theft protection.
• PTO 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.
• Compensation reviews for market competitiveness and internal equity.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED