Full-Time

Denials & AR Operations Support I

Posted on 1/9/2025

R1 RCM

R1 RCM

10,001+ employees

Revenue cycle management solutions for healthcare

Enterprise Software
Healthcare

Compensation Overview

$16.29 - $20.36Hourly

Entry, Junior

Remote in USA

Category
Insurance
Finance & Banking

You match the following R1 RCM's candidate preferences

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

Degree
Experience
Requirements
  • production-based background
  • experience with insurance verification
  • experience with hospital registration
Responsibilities
  • help the denials and AR department to finalize and submit appeals to the payor
  • communicate with the clinical department
  • work within different portals to submit appeals
  • identify different types of hospital documentation including, but not limited to, UB-04s, denial/approval letters, EOBs, Hospital account notes, medical records, itemized bills, and Hospital appeal letters
  • ensure professional and HIPAA-compliant documentation practices
  • maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files
  • utilize clinical guidance on compiling medical records
  • identify and communicate appeal deadlines timely through knowledge of insurer timeframes
  • update proprietary computer systems to ensure contacts/tasks are closed upon receipt of information requested and received

R1 RCM provides Revenue Cycle Management (RCM) solutions to healthcare providers, focusing on improving financial and administrative processes. The company uses technology and automation to streamline tasks such as patient registration, coding, billing, and collections, which helps reduce costs and enhance patient satisfaction. R1 RCM differentiates itself by offering comprehensive or targeted services through long-term partnerships with healthcare organizations, often with performance-based incentives. The main goal is to allow healthcare providers to focus on patient care while achieving better financial outcomes.

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