Follow Up Associate I
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. The Registration Complete Insurance Verification Associate is responsible for minimizing financial risk for hospitals and patients by accurately verifying insurance coverage, eligibility, authorization requirements, and plan limitations. This role ensures correct insurance information is documented on patient accounts, determines network status, and identifies resources for patients facing financial challenges. The associate collaborates with clinical teams to gather and submit necessary documentation, notifies payers of admissions, and obtains required authorizations. Success in this position is measured through weekly productivity scorecards and quality audits.
Requirements
- At least one (1) year of similar experience (patient-facing, Registration Complete).
- Excellent customer service skills exhibiting good oral and written communication skills.
- Ability to work with peers in a team effort and cross-functionally
- Must be able to communicate effectively and professionally to our patients and physician offices.
Responsibilities
- Initiates contact insurance companies (phone, fax, or web portals) to verify benefits, eligibility, and authorization requirements.
- Submits and follows up on pre-certification, authorization, and retro-authorization requests until determination is received.
- Obtains and provides clinical information by collaborating with care management teams or accessing patient medical records.
- Completes detailed electronic documentation to ensure accurate benefit verification and clean claim processing.
- Identifies and corrects inaccurate insurance plan codes within the hospital system.
- Maintains HIPAA compliance and documents all actions clearly while communicating professionally with patients, team members, and stakeholders.
- Other assigned duties and tasks.
Benefits
- competitive benefits package
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
