Insurance Discovery Specialist

R1 RCM

21h

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 Insurance Discovery Specialist, you will support R1’s Insurance Discovery product and a growing client base by verifying and loading platform-discovered patient insurance coverage into R1 and client host systems—improving billing accuracy, reducing denials, and increasing revenue recovery. You will manage a coverage work queue, research eligibility, coordinate with payers and provider teams, update patient records, and follow client SOPs/documentation while maintaining HIPAA compliance. You’ll also support metrics/reporting, recommend process and product improvements, and serve as a liaison between clients and internal coverage loading teams by leading training, updating documentation, and translating client/Product/Operations requests into clear, consistent coverage loading workflows. To thrive in this role, your background must include: Revenue cycle experience (eligibility & denials preferred) Powerful attention to detail and documentation skills Proficiency with Excel is required; willingness to learn basic SQL (training is provided) Collaborative, flexible mindset; be comfortable with change and occasional extended hours Results-driven and motivated with a strong drive to succeed and a follow-through mindset Reliable, engaged, and committed to process and product improvement and client outcomes Highly collaborative and enjoys partnering across teams Strong learning mindset—curious, adaptable, and eager to build new skills For this US-based position, the base pay range is $46,586.59 - $66,107.05 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. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent To learn more, visit: R1RCM.com Visit us on Facebook R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com.

Requirements

Revenue cycle experience (eligibility & denials preferred)
Powerful attention to detail and documentation skills
Proficiency with Excel is required; willingness to learn basic SQL (training is provided)
Collaborative, flexible mindset; be comfortable with change and occasional extended hours
Results-driven and motivated with a strong drive to succeed and a follow-through mindset
Reliable, engaged, and committed to process and product improvement and client outcomes
Highly collaborative and enjoys partnering across teams
Strong learning mindset—curious, adaptable, and eager to build new skills

Responsibilities

Manage a coverage work queue
Research eligibility
Coordinate with payers and provider teams
Update patient records
Follow client SOPs/documentation while maintaining HIPAA compliance
Support metrics/reporting
Recommend process and product improvements
Serve as a liaison between clients and internal coverage loading teams by leading training, updating documentation, and translating client/Product/Operations requests into clear, consistent coverage loading workflows.