Insurance Discovery Specialist

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $46.7k - $66.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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R1 RCM

WebsiteLinkedInAll Job Openings

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

• Support R1’s Insurance Discovery product by verifying and loading platform-discovered patient insurance coverage into R1 and client host systems • Manage a coverage work queue • Research eligibility • Coordinate with payers and provider teams • Update patient records and follow client SOPs/documentation while maintaining HIPAA compliance • Support metrics/reporting and recommend process and product improvements • Serve as a liaison between clients and internal coverage loading teams by leading training, updating documentation, and translating client/Product/Operations requests into coverage loading workflows

🎯 Requirements

• Revenue cycle experience (eligibility & denials preferred) • Powerful attention to detail and documentation skills • Proficiency with Excel is required; willingness to learn basic SQL (training is provided) • Collaborative, flexible mindset; be comfortable with change and occasional extended hours • Results-driven and motivated with a strong drive to succeed and a follow-through mindset • Reliable, engaged, and committed to process and product improvement and client outcomes • Highly collaborative and enjoys partnering across teams • Strong learning mindset—curious, adaptable, and eager to build new skills

🏖️ Benefits

• competitive benefits package