As our Underpayments Analyst you have the primary role of validating and reviewing hospital accounts which are believed to have additional revenue opportunity. Every day you will confirm claim reimbursement, ensure there are no additional variables impacting reimbursement, diagnose the root cause of the underpayment and work with other support teams to achieve this purpose. To thrive in this role, you should enjoy working with data and researching payment issues.
Responsibilities:
- The Validation Associate will work within the client’s Patient Accounting system, payer portals and/or websites, and will utilize R1’s proprietary software to research accounts in the work queue.
- Review opportunities created, evaluate calculation of the expected reimbursement, determine if opportunity should be pursued with payer and the action required to resolve the underpayment.
- Document the account to provide information and details to support appeal and resolution effort.
- Diagnose and understand how the underpayment occurred and what our client could have done to prevent it.
- Meet required benchmarks for production, accuracy, and efficiency.
Required Qualifications:
- A Bachelor’s degree or a High School diploma with 2+ years' 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 communicator – verbal and written communication to give specifics and details to document work completed
- Strong math skills with emphasis on complex equations
- Proficient with computers and technology
- Multiple 1-week onsite company-paid training in R1 office
For this US-based position, the base pay range is $46,664.00 - $72,250.29 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 5.00%
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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Skills Required
- Bachelor's degree, or high school diploma with 2+ years of 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, including complex equations
- Proficiency with computers and technology
- Ability to attend multiple one-week onsite company-paid training sessions at an R1 office
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.
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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.
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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.
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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.
