Denials Standardization Lead Analyst

🔥 18 hours ago

🇺🇸 United States – Remote

💵 $48.1k - $81.2k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

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R1 RCM

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

💼 Consulting

📦 Logistics

🏥 Healthcare

💰 Private Equity Round on 2024-07

Consulting • Logistics • Healthcare

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

• Identify clinical, coding, and process-driven root causes of preventable claim denials • Analyze denied claims and develop clear problem statements defining objectives, process failures, and denial-driving failure points • Partner with operational teams to validate medical terminology, coding accuracy, and front-end revenue cycle processes • Assess and communicate the financial impact of denials • Support initiatives to reduce revenue loss and improve revenue cycle performance • Identify issues and drive corrective action autonomously

🎯 Requirements

• Minimum 2 years of experience in revenue cycle management with a focus on denials and performance management • Working knowledge of medical terminology related to denied claims • Experience collaborating with coding teams and stakeholders analyzing denial root causes • Bachelor's degree; equivalent experience will be considered in lieu of a degree • Strong critical-thinking skills • Ability to clearly communicate clinical and operational issues to stakeholders • Hands-on experience in a denials or revenue cycle environment

🏖️ Benefits

• Annual bonus plan at a target of 5.00% • Competitive benefits package • Opportunity to constantly learn, collaborate across groups, and explore new career paths • Opportunity to contribute, think boldly, and create meaningful work • Reasonable accommodation support for applicants with disabilities