Revenue Cycle Analyst Underpayments

R1 RCM•Remote, FL, FL

21h•$46,664 - $72,250

About The Position

At R1, the Revenue Cycle Analyst Underpayments role focuses on validating and reviewing hospital accounts that may have additional revenue opportunities. The analyst confirms claim reimbursement, checks for variables that may affect reimbursement, identifies the root cause of underpayments, and works with support teams to address them. The role involves researching payment issues and working with data. The analyst works in the client’s Patient Accounting system, payer portals and websites, and R1 proprietary software to research accounts in a work queue. The position requires meeting production, accuracy, and efficiency benchmarks. A one-week onsite training at an R1 office is company-paid. Applicants must be authorized to work in the United States permanently; employment-based visa sponsorship is not available now or in the future. The US-based position has a base pay range of $46,664.00–$72,250.29 per year, with eligibility to participate in an annual bonus plan at a 5% target. Individual pay depends on role, level, location, job-related skills, experience, and relevant education or training.

Requirements

Bachelor’s degree and an interest in building a career in revenue cycle, healthcare operations, or data analytics; alternatively, a high school diploma or equivalent plus at least two years of relevant experience in hospital billing, resolution, revenue cycle, or data analytics.
Organized, analytical self-starter with strong critical-thinking skills and attention to detail.
Strong verbal and written communication skills, including the ability to document completed work with specifics and details.
Strong math skills, with emphasis on complex equations.
Proficient with computers and technology.
Currently authorized to work permanently in the United States; employment-based visa sponsorship is not available now or in the future.

Responsibilities

Research accounts in the work queue using the client’s Patient Accounting system, payer portals or websites, and R1 proprietary software.
Review created opportunities and evaluate the calculation of expected reimbursement.
Determine whether an underpayment opportunity should be pursued with the payer and identify the action needed to resolve it.
Document account information and details to support appeal and resolution efforts.
Diagnose how underpayments occurred and what the client could have done to prevent them.
Meet required production, accuracy, and efficiency benchmarks.