The Follow Up Associate will be responsible for investigating and examining denials for DME and infusion accounts, applying appropriate methods and techniques as established internally to resolve applicable issues, follow through with unresolved accounts, and keeps staff educated on all current trends in the appeals arena.

Responsibilities:

• Investigates and examines source of denials utilizing knowledge of charge master, DME, infusions, and billing
• Reads and interprets expected reimbursement information from EOB’s and learns legal parameters pertaining to all State and Federal Laws that pertain to the plan benefits pertaining to the EOB
• Works closely with third party payers to resolve unpaid claims in proving medical necessity of the patient’s admission
• Utilizes computer systems/programs, processes, policies and procedures as they apply to the positions entailed duties and be able to trouble-shoot issues as they arise within the assigned specialization group.
• Work closely with Appeals staff (Letter writers, Case Managers and Hearing specialists) in obtaining all pertinent information in a timely manner

Required Qualifications:

• High School diploma
• 1-2 years of revenue cycle (billing, follow-up, etc.) experience
• Demonstrated excellent analytical, fact-finding, problems solving and organizational skills as well as the ability to communicate, both verbally and in writing with staff, patients, and insurance plan administrators

For this US-based position, the base pay range is $14.69 - $19.30 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

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.

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To learn more, visit: R1RCM.com

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