Manager, Complex Claims

🔥 17 minutes ago

🇺🇸 United States – Remote

💵 $65.5k - $96.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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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

• Lead and coach supervisors and team members to achieve productivity, quality, and revenue goals • Monitor complex claims performance using KPIs and reporting tools to identify risks and opportunities • Partner with client and internal leaders to improve processes, drive change, and support contractual performance expectations • Standardize workflows, support process improvements, and reinforce quality and compliance expectations • Develop frontline leaders and create accountability for sustained team performance

🎯 Requirements

• Bachelor’s degree or equivalent combination of education, training, and relevant experience • 5–8 years of revenue cycle experience, preferably in complex claims, collections, or reimbursement operations • 2+ years of supervisory or people leadership experience • Experience with analytics and reporting tools such as Power BI • Strong knowledge of payer processing, reimbursement methodologies, and claims resolution strategies

🏖️ Benefits

• Competitive benefits package