Denials & AR Operations Support I

About the role

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 combine 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.

Responsibilities

• Provide high-level office support tasks, including data entry, document retrieval, and handling incoming and outgoing correspondence.
• Finalize and submit appeals to the payor on behalf of clients.
• Communicate with the clinical department and work within different portals to submit appeals.
• Identify different types of hospital documentation, including, but not limited to, UB-04s, denial/approval letters, EOBs, Hospital account notes, medical records, itemized bills, and Hospital appeal letters.
• Meet all weekly performance standards and goals set by management.
• Maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files.
• Read and analyze denial letters, UB-04 forms, account notes, and remits to determine denial information.
• Utilize clinical guidance on compiling medical records.
• Identify and communicate appeal deadlines timely through knowledge of insurer timeframes.
• Utilize the appropriate shipping method for mailings depending on appeal deadline, recipient, and size of the item.
• Finalize all letters based on the Appeal Finalization Process & Audit Tools.

Requirements

• High school diploma or GED

Qualifications

To thrive in this role, you must have a production-based background, and be experienced with insurance verification and hospital registration.

Skills

N/A

Benefits

N/A

Pay

The base pay range for this US-based position is $16.79 - $20.98 per hour. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

Schedule

N/A

Contact Information

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.

Equal Opportunity Employer

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.

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