Follow-up Associate I

🔥 15 hours ago

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Logo of R1 RCM

R1 RCM

10,000+ employees

Founded 2017

⚕️ Healthcare Insurance

☁️ SaaS

💸 Finance

💰 Private Equity Round on 2024-07

Healthcare Insurance • SaaS • Finance

R1 RCM is a leading provider of revenue cycle management solutions for the healthcare industry. With an emphasis on maximizing financial performance and optimizing patient care, R1 offers a comprehensive platform that integrates data analytics, intelligent technologies, and deep expertise in revenue cycle management. The company assists healthcare providers—ranging from hospitals and health systems to physician and specialty care practices—in capturing revenue opportunities, improving payer and patient cash flows, and ensuring compliance with government regulations. R1 is committed to driving cost reductions and revenue improvements while enhancing the patient experience. Their suite of services includes revenue recovery, clinical integrity, and regulatory navigation, making them a trusted partner for many top healthcare providers.

📋 Description

• Initiates contact insurance companies (phone, fax, or web portals) to verify benefits, eligibility, and authorization requirements. • Submits and follows up on pre-certification, authorization, and retro-authorization requests until determination is received. • Obtains and provides clinical information by collaborating with care management teams or accessing patient medical records. • Completes detailed electronic documentation to ensure accurate benefit verification and clean claim processing. • Identifies and corrects inaccurate insurance plan codes within the hospital system. • Maintains HIPAA compliance and documents all actions clearly while communicating professionally with patients, team members, and stakeholders. • Other assigned duties and tasks.

🎯 Requirements

• At least one (1) year of similar experience (patient-facing, Registration Complete) • Excellent customer service skills exhibiting good oral and written communication skills • Ability to work with peers in a team effort and cross-functionally • Must be able to communicate effectively and professionally to our patients and physician offices.

🏖️ Benefits

• competitive benefits package

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