Revenue Cycle Analyst – Underpayments

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $46.7k - $72.3k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

🦅 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

• Validate and review hospital accounts believed to have additional revenue opportunity • Confirm claim reimbursement and ensure no additional variables impact reimbursement • Diagnose root causes of underpayments • Work with support teams to resolve payment issues • Research accounts in the client’s Patient Accounting system, payer portals/websites, and R1 proprietary software • Review opportunities, evaluate expected reimbursement calculations, determine whether to pursue the payer, and identify required resolution actions • Document accounts with information supporting appeals and resolution efforts • Identify how underpayments occurred and what could have prevented them • Meet production, accuracy, and efficiency benchmarks

🎯 Requirements

• Bachelor’s degree with an interest in building a career in revenue cycle, healthcare operations, or data analytics • Candidates without a Bachelor’s degree may qualify with a high school diploma or equivalent and 2+ years of relevant experience in hospital billing, resolution, revenue cycle, or data analytics • Organized and analytical self-starter with strong critical thinking skills and attention to detail • Strong verbal and written communication skills • Strong math skills with emphasis on complex equations • Proficient with computers and technology • Applicants must be currently authorized to work in the United States on a permanent basis • Position is not eligible for employment-based visa sponsorship now or in the future

🏖️ Benefits

• Annual bonus plan at a target of 5.00% • Competitive benefits package • 1-week onsite company-paid training in R1 office • Opportunities to constantly learn, collaborate across groups and explore new career paths • Reasonable accommodation for applicants with disabilities

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