Full-Time

Denials & AR Operations Support I-9

Confirmed live in the last 24 hours

R1 RCM

R1 RCM

10,001+ employees

Revenue cycle management solutions for healthcare

Enterprise Software
Healthcare

Compensation Overview

$15.73 - $19.66Hourly

Entry, Junior

Remote in USA

Category
Data Entry
Clerk
Clerical & Data Entry
Requirements
  • Associates or technical degree; or one to two years related experience and/or training; or equivalent combination of education and experience.
Responsibilities
  • Be able to 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.
  • Perform general office duties such as typing, scanning, operating office machines, and sorting documentation.
  • Ensure professional and HIPAA compliant documentation practices
  • Maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files.
  • Be able to read UB-04 claim forms.
  • Be able to read and analyze denial letters, account notes and remits to determine denial information.
  • Utilize clinical guidance on compiling medical records.
  • Identify and communicate appeal deadlines timely through knowledge of insurer timeframes.
  • Update Quantum Appeals to ensure contacts/tasks are closed upon receipt of information requested and received, including identifying required documentation if incomplete and returning to appropriate person
  • Meet all weekly performance standards and goals set by management.
  • Address all follow ups promptly.
  • Alerts/99s must be addressed within a day of receipt.
  • Tasks/Contacts should never be more than 5 days old.
  • Handle rush and high balance cases in accordance with office policy.
  • Receptionist back up coverage – phone and front desk, if applicable
  • Maintain and distribute company phone list as needed, if applicable
  • Assist with projects as assigned

R1 RCM provides Revenue Cycle Management (RCM) solutions to healthcare providers, including hospitals and physician groups. The company uses technology to streamline financial and administrative processes, helping clients reduce costs and improve patient satisfaction. R1 RCM offers comprehensive services that cover all aspects of the revenue cycle, from patient registration to billing and collections. Their goal is to enhance the financial performance of healthcare organizations while allowing them to focus more on patient care.

Company Stage

Acquired

Total Funding

N/A

Headquarters

Murray, Utah

Founded

N/A

Growth & Insights
Headcount

6 month growth

12%

1 year growth

23%

2 year growth

37%
Simplify Jobs

Simplify's Take

What believers are saying

  • The acquisition by TowerBrook Capital Partners and CD&R for $8.9 billion reflects strong investor confidence and potential for growth.
  • R1 RCM's advanced RCM solutions, like R1 Professional, are widely adopted by large hospital-owned medical groups, indicating robust market penetration.
  • The company's strategic focus on automation and AI in handling clinical denials appeals positions it well to address rising healthcare financial pressures.

What critics are saying

  • The recent cyberattack and customer bankruptcy have negatively impacted R1's revenue outlook for 2024, highlighting vulnerabilities in its operations.
  • The competitive landscape in the RCM sector is intense, with potential for market share erosion by emerging technologies and new entrants.

What makes R1 RCM unique

  • R1 RCM's focus on end-to-end RCM solutions tailored for healthcare providers sets it apart from competitors who may offer more generalized financial services.
  • The company's use of intelligent automation to streamline revenue cycle processes provides a competitive edge in reducing administrative burdens and improving patient satisfaction.
  • R1 RCM's performance-based incentive contracts align its success with that of its clients, fostering long-term partnerships and trust.

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