Job Description
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone.
What You’ll Be Doing as A Part of Our Team
- Identify, analyze, and manage all issues about claims edits and rejects
- Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met.
- Review and analyze top edits and rejects with BSO global team every week.
- Identify the opportunities for edits and rejects that could be reduced
- Active participation in weekly calls; top edits and rejects review call with the onshore team
- Oversee monthly reporting, weekly DNFB, monthly performance deck,
- Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions.
- Implement and maintain department compliance with new and existing policies and procedures.
- Ensure timely completion of month-end duties and perform other duties as assigned.
- Continually evaluate claim processing business and make suggestions for improvement.
- Knowledgeable in end-to-end revenue cycle management
- Reliable and punctual in reporting for work and taking designated breaks.
What You Should Have to Qualify
- 5+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience.
- 1+ years of management experience leading or supervising billers.
- Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects.
- Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills.
- Ability to effectively speak with providers, employees, and all levels of staff within the company.
- Practical work experience desired in client relations, implementation and support, and process planning and improvement.
- Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook).
- Strong work ethic and professional communication.
- Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas.
- Strong attention to detail and keep a constant eye out for opportunities to improve efficiency.
- Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions.
- Have experience with hospital billing and Meditech software will be given preference.
- Ability to adapt to changing priorities and handle multiple tasks simultaneously.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
Visit us on Facebook
Skills Required
- 5+ years background in claims edits and clearinghouse rejects within revenue cycle management
- Hospital billing experience
- 1+ years management experience leading or supervising billers
- Strong working knowledge of CPT and ICD10 coding, denials, edits, and rejects
- Experience managing projects with multi-disciplinary teams and strong relationship-building skills
- Ability to effectively communicate with providers, employees, and all levels of staff
- Practical experience in client relations, implementation and support, and process planning/improvement
- Proficient in Microsoft Office: Excel, Word, PowerPoint, Outlook
- Experience with Meditech software
- Strong attention to detail, organizational skills, ability to multitask and adapt to changing priorities
- Reliable, punctual, and accountable work ethic
R1 RCM Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about R1 RCM and has not been reviewed or approved by R1 RCM.
-
Leave & Time Off Breadth — Flexible or unlimited PTO, paid holidays/vacation, and paid volunteer time are highlighted, supporting work-life balance in many roles. Time-off usability is described as workable in many teams, especially in exempt roles.
-
Flexible Benefits — Remote work options and flexible schedules are available for many positions, offering convenience and adaptability depending on role and location. Work-from-home eligibility varies by position but is called out as a valued option.
-
Career-Linked Recognition & Rewards — Recognition programs such as R1 Stars are implemented to boost engagement and morale. Feedback suggests these programs help reduce turnover and provide acknowledgment beyond base pay.
R1 RCM Insights
What We Do
R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
