Product Support Analyst II

🔥 2 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $62.5k - $78.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Support Engineer

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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

• Read, interpret, and act on automated RTE responses tied to coverage and authorization outcomes • Perform root-cause analysis on coverage, eligibility, and business rule issues through resolution • Manage business rule configuration, understanding downstream impact on denials and patients • Collaborate across product, engineering, operations, coverage/eligibility, payer services, PMT, FCC, and tech deployment • Support current book of business and new client implementations • Write user stories with clear acceptance criteria • Use SQL for data analysis and troubleshooting • Create and maintain SOPs and documentation, leveraging AI tools where possible • Monitor production environments and coordinate troubleshooting with vendors and internal IT • Communicate with customers and stakeholders via ticketing systems, email, and meetings

🎯 Requirements

• Real-time eligibility (RTE) experience — must be able to interpret automated eligibility responses • Medical insurance knowledge — coverage logic, eligibility, and downstream revenue cycle impact • SQL — querying, joins, tables, basic functions • Ticketing system experience (ServiceNow, ServiceDesk, or comparable) • Strong analytical skills and independent problem-solving ability • Detail-oriented with a quality-first mindset • Effective communicator across technical and non-technical teams

🏖️ Benefits

• competitive benefits package