Offer summary

Qualifications:

2+ years' experience in hospital billing, resolution, revenue cycle, or data analytics., Proficiency in revenue cycle software and electronic health record (EHR) systems., Strong analytical skills with attention to detail and critical thinking abilities., Excellent verbal and written communication skills..

Key responsibilities:

Review, validate, and manage hospital accounts requiring follow-up with insurance payers.

Root cause claim denials and determine resolution strategies, including engaging specialized teams as needed.

Utilize Lean & Six-Sigma frameworks to identify and document process improvement opportunities.

Engage in regular review meetings with senior leadership to discuss findings and progress.

Job description

As a Revenue Cycle Analyst you have the primary role of reviewing, validating, and managing hospital accounts which require follow-up with insurance payers. Every day you will root cause claim denials deciding how best to resolve the claims and decide if any specialized teams are needed to help work the account towards resolution. To thrive in this role, you should enjoy working with data and researching payment issues.

Here’s What You Can Expect

The Revenue Cycle Analyst will work within the client’s Patient Accounting system, payer portals and/or websites, and will utilize R1’s proprietary software to research accounts in the work queue.
Manage payer AR inventory for several payers and acute hospitals, communicating trends, issues, and initiatives to resolve all accounts.
Diagnose and understand why the denial occurred and what is needed to both prevent it from happening in the future and how to properly resolve it with the payer.

Utilize Lean & Six-Sigma frameworks to organize and document the process improvement opportunities emanating from their reviews.

Engage in review meetings with senior leadership multiple times per week to review findings and progress on the Receivable Analysis.

Resolve open insurance AR, including but not limited to: writing technical appeal letters to payers, handing-off accounts for clinical appeal letter submissions, calling payers to escalate denial trends, pulling Medical Records for payer submission
Meet required benchmarks for production, accuracy, and efficiency.

Required Qualifications:

2+ years' experience in hospital billing, resolution, revenue cycle, or data analytics displaying a strong understanding of revenue cycle processes, payer policies, and medical billing practices.
Proficiency in revenue cycle software and electronic health record (EHR) systems is desired.
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 $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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