R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1 is a publicly-traded organization with employees throughout the US and international locations.
Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
As our Operations Associate, you will help by working directly with healthcare insurance companies to recover underpaid hospital claims for our clients. Every day you will perform resolution analysis which includes reviewing managed care contracts, state or federal legislation, claims billing, and clinical information to effectively reconcile underpaid accounts. To thrive in this role, you must meet monthly project goals and maintain current resolution efforts on all their assigned projects.
This is a hybrid position located at 1100 Peachtree Street Suite 1900 Atlanta, GA 30309. You are required on site for an estimated 8 weeks for initial training and as needed thereafter.
Here's what you will experience working as an Operations Associate I:
- Conduct follow-up calls & payer portal escalations with insurance payers to resolve underpaid hospital claims and maximize reimbursement for hospital clients
- Maintain timely, professional follow-up and demonstrate a wide knowledge base on a variety of risk areas and contractual underpayment issues
- Analyze and interpret denial data to develop evidence-based responses for claim/appeal denials to ensure contractual payment of submitted claims
- Perform continual analysis and quality control of underpayment risk areas to ensure audit accuracy
- Analyze payer trends and patterns identified during payer interactions identify opportunities for process improvement and implement effective solutions
Qualifications
- 2+ years experience in hospital billing, resolution, revenue cycle, or data analytics or college degree
- Organized and analytical self-starter with strong critical thinking skills and attention to detail
- Strong communicator verbal and written communication to give specifics and details to document work completed
For this US-based position, the base pay range is $15.73 - $19.66 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
The healthcare system is always evolving and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team including offering a competitive benefits package.
R1 RCM Inc. (the Company) is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
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To learn more, visit: R1RCM.com
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