Revenue Cycle Analyst – Underpayments

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $46.7k - $72.3k / year

⏰ Full Time

🟢 Junior

🧐 Analyst

🚫👨‍🎓 No degree required

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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

• Review physician-managed care contracts to determine expected reimbursement • Analyze physician claims data to identify contractual underpayment trends and billing errors • Pursue underpayments with third-party payors via correspondence, payer portals, and phone calls • Work with medical group clients to obtain information or data to pursue underpayments or correct billing errors • Run reports and queries in Microsoft Excel and Microsoft Access • Perform forensic analysis of hospital claims data to identify opportunities to improve hospital revenue and cash flow • Support claim pursuit, revenue recovery, managed care contracting, negotiation strategy, contract compliance, and gainsharing and physician/hospital collaboration activities

🎯 Requirements

• 1+ years of experience working directly in healthcare (i.e., medical assistant, billing and coding, healthcare technician) • 1+ years' experience in Physician Billing or Revenue Cycle • Intermediate Excel knowledge • Familiarity with commercial and government healthcare reimbursement methodologies • Proficiency in Microsoft Excel • Familiarity with Microsoft Access • Self-starter and motivated

🏖️ Benefits

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