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 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 will experience working as a Revenue Cycle Analyst: 

  

• Manage payer AR inventory for several payers and acute hospitals, communicating trends, issues, and initiatives to resolve all accounts for Medicare.

  

• 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 review 

  

• 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.  

  

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.

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