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.
As our Denials & AR Operations Support II, you will help the Denials and AR department to finalize and submit appeals to the payor, so that they can service the client and process incoming correspondence. Every day, you will communicate with the clinical department and work within different portals to submit appeals. To thrive in this role, you must have a production-based background, have experience with insurance verification and hospital registration.
Here’s what you will experience working as a Denials & AR Operations Support II:
Be able to identify different types of hospital documentation including, but not limited to, UB-04s, denial/approval letters, EOBs, Hospital account notes, medical records, itemized bills, and Hospital appeal letters.
Ensure professional and HIPAA-compliant documentation practices.
Maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files.
Utilize clinical guidance on compiling medical records.
Identify and communicate appeal deadlines timely through knowledge of insurer timeframes.
Update proprietary computer systems to ensure contacts/tasks are closed upon receipt of information requested and received.
Required Skills:
High school diploma or GED
Experience in working appeals
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
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To learn more, visit: R1RCM.com
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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.
