• Job Description

  Req#: R230000008109

  Location: Remote, USA (California Preferred)

  Shift: Monday-Friday, Flexible start time between 6am-830am PST, 8.5 hour shift with a 30 minute lunch.

  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.

  The Credit Representative will be responsible for supporting the revenue cycle insurance credit balance follow-up function for R1 customer sites across the United States. The primary goal of the Credit Representative is to complete tasks relating to the resolution of insurance and patient credits associated with client accounts receivables. The primary responsibility is to ensure that credits for hospitals and patients are applied accurately and in a timely manner and in accordance with Government and payor regulations. This role is empowered to use analytical skills to maximize technology to improve financial outcomes.

  Responsibilities:

  • Effectively work with escalated and complex insurance credit and patient credit balance accounts to facilitate accurate resolution of credit balance

  • Review account information and all necessary system applications to determine the next most value-added work activity and thoroughly document all pertinent activity performed

  • Review specified refunds for approval and handle all necessary refund paperwork processing; commercial payers

  • Identify and resolve problems in a timely manner; gather and analyze information skillfully; develop alternative solution; consider and identify automation and process improvement opportunities; work well in group problem solving environment

  • Complete special projects/reports to resolve high priority and aged credit balance inventory

  • Perform audits to validate effective and accurate credit review steps completed, identify areas of improvement, and provide applicable feedback

  Required Qualifications:

  • High School Diploma or equivalent (GED)

  • 5 years of medical commercial collections experience

  • Ability to execute processes efficiently and maintain highest level of quality

  • Experience with working with multiple computer systems simultaneously

  • Demonstrates ability to identify and communicate issues

  • Computer literacy skills, including Excel spreadsheets and Microsoft Office products

  • Enhanced communication and customer service skills

  • Ability to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks

  · Desired Qualifications:

  • 5 years of experience in healthcare revenue cycle environment preferred

  • Experience with Meditech preferred

  • 5 years of credit resolution experience preferred

  • Working knowledge or experience with medical terminology preferred

  The US base pay range for this position is $15.00 - $28.57. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

  Learn more about Benefits at R1

  Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

  
  Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package including:

  • Comprehensive Medical, Dental, Vision & RX Coverage
  • Paid Time Off, Volunteer Time & Holidays
  • 401K with Company Match
  • Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
  • Tuition Reimbursement
  • Parental Leave

  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.

  CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

  To learn more, visit: R1RCM.com

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• About the company

  R1 RCM Inc. is an American revenue cycle management company servicing hospitals, health systems and physician groups across the United States.

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