Full-Time

Billing Representative II

Posted on 12/17/2024

R1 RCM

R1 RCM

10,001+ employees

Revenue cycle management solutions for healthcare

Enterprise Software
Healthcare

Compensation Overview

$15.66 - $23.45Hourly

Entry, Junior

Remote in USA

Category
Tax Accounting
Accounting
Requirements
  • One year or more in Medical Billing and Follow Up experience
  • Experience in Pharmacy and Medicare billing
  • Ability to execute processes efficiently and maintain highest level of quality
  • Demonstrates ability to identify and communicate issues
  • Computer literacy skills, including Excel spreadsheets and Microsoft Office products
  • Enhanced communication and customer service skills
Responsibilities
  • Review patient accounts ensuring claims are accurate and billable.
  • Identify and resolve claim edits and understand billing guidelines and payer requirements.
  • Proactively fix claim rejection errors and resubmit claims based on payer requirements.
  • Initiate contact and respond to inquiries from various external sources.
  • Answer questions and assist patients with billing issues as needed.

R1 RCM specializes in Revenue Cycle Management (RCM) solutions for the healthcare industry. 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 automating these processes, 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, 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

12%

1 year growth

23%

2 year growth

36%
Simplify Jobs

Simplify's Take

What believers are saying

  • R1 RCM's acquisition by TowerBrook and CD&R could enhance strategic growth opportunities.
  • The increasing demand for AI-driven RCM solutions aligns with R1 RCM's technology focus.
  • R1 RCM's comprehensive documentation is valued by clients, enhancing service credibility.

What critics are saying

  • Inconsistencies in turnaround times and accuracy may affect client satisfaction.
  • The $4.5 billion debt for acquisition could increase financial risk.
  • R1 RCM faces competition from firms like Xsolis in client satisfaction.

What makes R1 RCM unique

  • R1 RCM specializes in end-to-end Revenue Cycle Management for healthcare providers.
  • The company leverages intelligent automation to streamline financial and administrative processes.
  • R1 RCM offers performance-based contracts, aligning incentives with client financial outcomes.

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