Offer summary

Qualifications:

Proficient in Microsoft Excel., Familiar with commercial and government healthcare reimbursement methodologies., Strong analytical skills for detailed claims data analysis., Experience in managed care contracting and negotiation strategies..

Key responsabilities:

Perform detailed analysis of hospital claims data to identify revenue improvement opportunities.

Review hospital-managed care contracts to determine expected reimbursement.

Pursue underpayments with third-party payors through correspondence and phone calls.

Collaborate with hospital clients to obtain necessary information for billing corrections.

Job description

At R1 RCM we are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers.

We deliver proven ROI across the entire revenue cycle – front, middle and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and improves financial performance.

As our Revenue Cycle Analyst, you will be responsible for performing detailed, forensic analysis of hospital claims data to identify opportunities to improve hospital revenue and cash flow through claim pursuit and improved operations. Every day you will excel in the areas of underpayment identification and revenue recovery, managed care contracting, negotiation strategy and contract compliance and the implementation of gainsharing and other physician/hospital collaboration activities. To thrive you must be a motivated self-starter that is proficient in Microsoft Excel and be familiar with commercial and government healthcare reimbursement methodologies.

Here’s What You Can Expect:

Review hospital-managed care contracts to determine expected reimbursement.
Analyzing hospital claims data to identify contractual underpayments and billing errors.
Pursuing underpayments with third-party payors via correspondence and phone calls.
Working with hospital clients to obtain necessary information or data to pursue underpayments or correct billing errors.
Running reports and queries in Microsoft Excel

For this US-based position, the base pay range is $43,888.00 - $70,631.44 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 5.00%

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.

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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