Full-Time

Insurance Verif Assoc

Posted on 12/20/2024

R1 RCM

R1 RCM

10,001+ employees

Revenue cycle management solutions for healthcare

Enterprise Software
Healthcare

Compensation Overview

$14.76 - $22.48Hourly

Junior

Birmingham, AL, USA

Category
Customer Support
Customer Success & Support
Required Skills
Customer Service

You match the following R1 RCM's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • High School diploma or equivalent.
  • At least one (1) year of similar experience (patient-facing, patient access).
  • Excellent customer service skills exhibiting good oral and written communication skills.
  • Ability to type fast and accurately.
  • Must be able to communicate effectively and professionally to our patients and physician offices.
Responsibilities
  • Initiates contact with client hospital patients via telephone using appropriate scripting to ensure the required level of benefit and pre-certification/authorization details such as demographics, insurance/ coverage and clinical information are obtained.
  • Complete appropriate electronic forms with detailed benefit and pre-certification/ authorization information to ensure a clean claim.
  • Identifies inaccurate plan codes and corrects in the hospital’s main frame.
  • Work directly with multiple insurance websites to obtain benefits and authorization validation.
  • Adheres to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
Desired Qualifications
  • Basic Word/Excel
  • Medical Terminology
  • Coding/Billing experience

R1 RCM specializes in Revenue Cycle Management (RCM) solutions for the healthcare sector. The company uses technology to simplify and improve the financial and administrative tasks of healthcare providers, such as hospitals and physician groups. R1 RCM's services cover the entire revenue cycle, which includes patient registration, coding, billing, and collections. By implementing intelligent automation, R1 RCM helps healthcare organizations reduce costs, increase revenue, and enhance patient satisfaction. Unlike many competitors, R1 RCM offers both comprehensive RCM solutions and targeted services for specific revenue cycle areas, often working under long-term contracts with performance incentives. The main goal of R1 RCM is to improve the financial performance of its clients while allowing them to focus more on patient care.

Company Stage

IPO

Total Funding

N/A

Headquarters

Murray, Utah

Founded

2003

Growth & Insights
Headcount

6 month growth

1%

1 year growth

0%

2 year growth

0%
Simplify Jobs

Simplify's Take

What believers are saying

  • Increased telehealth adoption boosts demand for RCM solutions handling virtual care billing.
  • AI integration in RCM processes enhances automation of complex billing tasks.
  • Value-based care models create opportunities for RCM solutions aligning financial incentives with outcomes.

What critics are saying

  • Inconsistencies in service turnaround times and accuracy may affect client satisfaction.
  • Acquisition by TowerBrook and CD&R could disrupt operations and client relationships.
  • High competition in physician advisory services threatens R1 RCM's market position.

What makes R1 RCM unique

  • R1 RCM specializes in end-to-end Revenue Cycle Management for healthcare providers.
  • The company leverages advanced technology to streamline financial and administrative processes.
  • R1 RCM focuses on improving patient experience and financial performance for healthcare clients.

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Benefits

Performance Bonus

Professional Development Budget

INACTIVE