Denials Recovery Specialist I

United Health Services, Inc.; New York (NY); Sur place; USD 55 504 000 - 80 521 000; Plein temps

Résumé du poste

United Health Services in New York is seeking a Denials Recovery Specialist I to help keep the revenue cycle moving by resolving denied insurance claims and managing accounts receivable. You will prepare clear appeals for payors and support timely reimbursement.

This role emphasizes accuracy, teamwork, and problem solving, contributing to revenue integrity and patient access while aligning with HIPAA and organizational policies.

Qualifications

• 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.

Responsabilités

• 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.

Connaissances

Attention to detail

Teamwork

Problem solving

Communication

Formation

High School Diploma or equivalent

Bachelor’s Degree

Description du poste

Position Overview

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.

Primary Department, Division, Or Unit

Denials Recovery, UHS Revenue Cycle Operations

Primary Work Shift

Day

Regular Scheduled Weekly Hours

40

Compensation Range

$19.37 - $28.09 per hour, depending on experience

Job 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

Scope And Impact

• 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

Compliance And Professional

• 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

Additional Expectations

• 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

Position Qualifications

• 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

Preferred

• Bachelor’s Degree

Why You’ll Love Working at UHS

A Culture of Connection

We support each other like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster belonging and collaboration. Outside of work, we stay connected through team events like trivia, trunk-or-treat, volunteer days, our staff choir, or seasonal celebrations.

Comprehensive Benefits for Life & Family

We offer medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week. With flexible plan options and coverage tiers, you can choose what fits your life best. Additional perks include discounted childcare through Bright Horizons and voluntary benefits like pet insurance, legal services, and identity theft protection.

Well-Being & Financial Security

From day one, PTO starts accruing so you can take time to recharge. We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to $400/year in wellness rewards. When life gets tough, we’re here with 24/7 EAP counseling, virtual mental health support, a food pantry, PTO donation program, and professional attire through the Classy Closet.

Growth That Moves with You

With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can feel confident your work is valued and rewarded fairly.

A Place to Call Home

Located in New York’s Southern Tier, UHS offers more than a career—we offer a lifestyle. Enjoy four-season recreation, affordable living, top-rated schools, minor league sports, craft brews, a close-knit community, and more, all within reach of the Finger Lakes, the Catskills, and major Northeast cities.

About United Health Services

United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. UHS provides healthcare and medical services for two-thirds of the region’s population, produces $1.3 billion a year in total economic impact, and boasts a workforce of more than 6,300 employees and providers.

At UHS, our work is guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a shared purpose: to improve the health and well-being of the communities we serve. Every employee plays a meaningful role in fulfilling our mission—we’d love for you to consider joining us!

United Health Services is an Equal Opportunity Employer.

United Health Services, Inc. and the members of the UHS System neither are affiliated with, sponsored, endorsed nor approved by, nor otherwise associated with, Universal Health Services, Inc. (NYSE: UHS), UHS of Delaware, Inc. nor their affiliates, which can be found at www.uhsinc.com.