Denials Recovery Specialist

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

Essential Functions:

• Resolve denied insurance claims by reviewing accounts,identifying issues, and securing appropriate paymentoutcomes
• Manage assigned work queues to ensure timely,accurate resolution of denied and aging accounts receivable
• Prepare andsubmitformal reconsiderations and appeals to payors to support claim reprocessing and payment
• Draft clear,accurateappeal letters and supporting documentation aligned with payor requirements
• Perform denied claims and accounts receivableclean‑up activities to support revenue cycle performance
• Accurately adjust denialsin 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 determineappropriatefollow-up, escalation, and appeal actions
• Analyze claim outcomes toidentifytrends 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, supportcybersecurityand data protection requirements throughout the supplier lifecycle by coordinating vendor risk assessments,monitoringthird-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
• Performadditionalresponsibilities asrequiredto meet department and organizational needs

Required:

• High School Diploma or equivalent
• At least 1 year of direct experience performing the exact orvery similarduties 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

At United Health Services (UHS), we believe every connection—to patients, to purpose, to each other—makes a difference. That’s why we’re intentional about supporting our team in ways that go beyond the job. Whether through meaningful benefits, personal growth, or fun along the way, we’re here to help you thrive in work and life.

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