Operations Leader – Follow Up

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 Operations Leader – Follow Up, you will help improve revenue cycle outcomes for our clients by proactively monitoring accounts receivable aging, initial denial percentage, no response claim follow-up and quality metrics. Using your backend revenue cycle management knowledge and data analysis skills, you will identify root cause issues and recommend denial mitigation strategies and system fixes. Every day you will provide analytical expertise to the revenue cycle management process to identify workflow issues and provide solutions for internal teams. To thrive in this role, you must know the ins and outs of claim processing and follow up and have a knack for reporting and analyzing metrics and KPIs.

 

Here’s what you will experience working as an Operations Leader – Follow Up:

 

• Collaborate with Client Success Managers on client calls as needed; prepare meeting agendas; report and analyze performance metrics

• Coach and train internal teams; monitor global team’s daily workflows to ensure client service level agreements are met; address any issues with a sense of urgency

• Review inventory of open claims, high dollar accounts and accounts over 90 days, help to identify root causes and validate Action Plans to meet service levels

• People leadership including timecard submission, PTO requests, and performance reviews

 

Required Skills:

 

• High school diploma or equivalent

• You’ve worked in backend revenue cycle management where you learned billing and follow up workflows and can use this knowledge to identify root causes and create action plans

• You have led a team and feel confident in your ability to coach and mentor

• You feel confident in your ability to navigate Meditech, Athena, and/or Cerner and healthcare claims clearing houses

• You know how to create pivot tables and V-lookups in Excel to analyze data

For this US-based position, the base pay range is $47,237.00 - $78,919.86 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 …