Revenue Cycle Analyst Underpayments

R1 RCM•Remote, FL, FL

2d•$46,664 - $72,250•Onsite

About The Position

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers. All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare. 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.

Requirements

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

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.