Operations Associate

🔥 7 minutes ago

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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

• Examine patient billing records, claims, remittance advice, and supporting documentation to ensure accuracy, completeness, and compliance with client and payer requirements. • Navigate multiple Patient Accounting and revenue cycle systems to research accounts, update information, document account activity, and support billing and collections processes. • Send, receive, track, and organize healthcare and billing-related documents via fax while ensuring timely processing and proper record retention. • Handle inbound and outbound phone communications with patients, insurance representatives, healthcare providers, and internal stakeholders to resolve account inquiries and obtain necessary information. • Utilize Microsoft Excel to enter, review, track, and reconcile account data, generate reports, and identify discrepancies requiring follow-up. • Safeguard Protected Health Information (PHI) by adhering to HIPAA regulations, organizational policies, and security protocols when handling patient records, communications, and billing information. • Complete clerical and administrative tasks including document management, correspondence, account research, data entry, and other activities that support efficient client operations and service delivery.

🎯 Requirements

• Minimum of 1 year of experience in a healthcare, revenue cycle, medical billing, or patient accounting environment. • Proficiency in Microsoft Excel, including data entry, sorting, filtering, and basic reporting functions. • Experience sending, receiving, and managing documents via fax in a professional healthcare or business setting. • Working knowledge of HIPAA regulations and demonstrated ability to handle Protected Health Information (PHI) in a confidential and compliant manner. • Experience reviewing and processing billing-related documentation with a strong attention to detail and accuracy. • Ability to communicate professionally and effectively by phone with patients, insurance representatives, providers, and internal stakeholders.

🏖️ Benefits

• Competitive benefits package

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