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 Underpayments Analyst, you will help R1 clients by analyzing claims information so that they can identify, analyze, and resolve complex accounts. Every day you will work closely with various departments to ensure accurate payment processing and to recover any underpaid amounts. To thrive in this role, you must utilize analytical skills to review payment data, identify trends, and implement solutions to prevent future underpayments.
Here’s what you will experience working in Underpayments Analyst:
You will be investigating and analyzing claims to identify denial reasons and create appeal letters to resolve any issues. You can expect to contact providers to learn the status of previously resubmitted claims, written appeals, or updates on incoming claims payments.
Utilizing strong attention to detail you will calculate expected claim reimbursement and notate accounts with updates received via email/phone from insurance companies.
You can expect a team you can rely on, including a mentor that cares about your progress toward your career goals.
Root cause analysis of identified trending issues.
Analyze payment data to identify underpayment trends and discrepancies.
Required Qualifications
Demonstrated excellent analytical, fact-finding, problems solving and organizational skills as well as the ability to communicate, both verbally and in writing with staff, patients, and insurance plan administrators.
Experience in hospital billing.
Demonstrated ability to work successfully in a team setting.
At least one year experience in interpreting hospital contracts.
For this US-based position, the base pay range is $17.81 - $25.89 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
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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