Denials Standardization Lead Analyst
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 Performance Management Denials Analyst Standardization Lead, you will help reduce preventable claim denials by identifying clinical, coding, and process‑driven root causes that negatively impact reimbursement and overall revenue cycle performance. Every day you'll analyze denied claims to develop and write clear problem statements that define the intended objective, where the process failed, and the specific failure points driving denials that outline where to fix the problem. Partner closely with operational teams to validate medical terminology, coding accuracy, and front-end revenue cycle processes contributing to denials. Assess and communicate the financial impact of denials, supporting initiatives aimed at reducing significant revenue loss and improving the bottom line for internal and external clients.
Requirements
- Minimum 2 years of experience in revenue cycle management with a focus on denials and performance management
- Working knowledge of medical terminology related to denied claims
- Experience collaborating with coding teams and stakeholders analyzing denial root causes
- Hands-on experience in a denials or revenue cycle environment
- Strong critical-thinking skills
- Ability to clearly communicate clinical and operational issues to stakeholders
Responsibilities
- Analyze denied claims to develop and write clear problem statements that define the intended objective, where the process failed, and the specific failure points driving denials that outline where to fix the problem.
- Partner closely with operational teams to validate medical terminology, coding accuracy, and front-end revenue cycle processes contributing to denials.
- Assess and communicate the financial impact of denials, supporting initiatives aimed at reducing significant revenue loss and improving the bottom line for internal and external clients.
Benefits
- annual bonus plan
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
