• Job Description

  Req#: R230000009927

  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.

  The Operations Associate I will be responsible for working directly with healthcare insurance companies to recover underpaid hospital claims for our clients. This person will perform resolution analysis which includes reviewing managed care contracts, state or federal legislation, claims billing, and clinical information in order to effectively reconcile underpaid accounts.

  Everyday in this role, you will:

  • 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
  • Understand and articulate claim and contract details to interested parties to facilitate proper billing and reimbursement
  • Document all communication and actions taken during payer escalations for future reference and tracking purposes
  • 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
  • Collaborate with cross-functional teams, key stakeholders, and upper management to optimize reimbursement on accounts

  To succeed in this role you must have:

  • Either a Bachelor's degree in Healthcare Administration, Business, or related field OR High School diploma with 2+ years' of experience in revenue cycle management, billing, or healthcare finance.
  • Critical thinking and analytical skills with the ability to identify patterns, trends, and root causes.
  • Strong written and verbal communication skills, with the potential to formulate clear and concise appeals.
  • Proficient in using Microsoft Office Suite (Word, Excel, PowerPoint) and other relevant software applications.
  • Knowledge of coding systems (e.g., CPT, ICD-10) and medical terminology is a plus.

  This is a hybrid position located in the greater Atlanta, GA area with in-office expectations during the initial onboarding period and as needed thereafter.

  For this US-based position, the base pay range is $15.00 - $22.64 per hour . 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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