Follow-Up Revenue Cycle Analyst

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. 

As our Follow-Up Revenue Cycle Analyst, you have the primary role of reviewing, validating, and managing hospital accounts that require follow-up with insurance payers. Every day, you will perform root cause analysis on claim denials and decide how best to resolve them, as well as any specialized teams needed to help work the account towards resolution. To thrive in this role, you must be an organized and analytical self-starter with strong critical thinking skills and attention to detail. You should enjoy working with data and researching payment issues.

 

Here’s what you will experience working as a Follow-Up Revenue Cycle Analyst:

• Work within the client’s patient accounting system, payer portals, and/or websites, and 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.
• 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, and pulling Medical Records for payer submission.
• Meet required benchmarks for production, accuracy, and efficiency.

Required Skills:

• 2+ years' experience in hospital billing, resolution, revenue cycle, or data analytics

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.

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To learn more, visit: R1RCM.com

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