Denials & AR Senior Analyst

R1 RCM

2d • $17 - $26

About The Position

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 and AR Senior Analyst, you will help R1 by managing assigned accounts or clients. Every day, you will be involved in doing initial reviews, calling insurance companies to resolve authorization and claim denials, writing appeals and letters to insurance companies to resolve denials, and following up on appeals to the point of exhaustion or payment. To thrive in this role, you must have Denials or AR experience in Hospital or Physician claims, and experience working in a production-based environment is required. We will teach you our industry-leading technology and a variety of skill sets to help you excel in your new position. You will also need experience in writing appeal letters to insurance companies. Here’s what you will experience working as a Denials & AR Senior Analyst: Contact insurance companies to resolve authorization, eligibility, coding, and other issues that cause denials Prepare and submit appeals and supporting documentation to overturn denials using provider manual and or contractual information as available Monitor and track the status of appeals and follow up as needed Identify trends and patterns of denials and recommend solutions to prevent future denials. Act as a subject matter expert in denials management. Perform account analysis and reconciliation to ensure accurate balances and payments Communicate with clients, patients, and internal departments to resolve billing and collection issues Report on the performance and outcomes of denials, appeals, and collections activities.

Requirements

• High School Diploma or GED
• Current or previous experience with the Denials & AR level one and two responsibilities at R1, including the R1 process of reviewing and analyzing claim denials and rejections from insurance companies.
• Denials or AR experience in Hospital or Physician claims
• Experience working in a production-based environment
• Experience in writing appeal letters to insurance companies

Responsibilities

• Contact insurance companies to resolve authorization, eligibility, coding, and other issues that cause denials
• Prepare and submit appeals and supporting documentation to overturn denials using provider manual and or contractual information as available
• Monitor and track the status of appeals and follow up as needed
• Identify trends and patterns of denials and recommend solutions to prevent future denials.
• Act as a subject matter expert in denials management.
• Perform account analysis and reconciliation to ensure accurate balances and payments
• Communicate with clients, patients, and internal departments to resolve billing and collection issues
• Report on the performance and outcomes of denials, appeals, and collections activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees