Full-Time

Operations Associate I

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

$15.68 - $23.46Hourly

Entry, Junior

Houston, TX, USA

Hybrid work schedule: 2 days in office and 3 remote, but available to adjust as needed.

Category
Procurement & Sourcing
Quality Control & Compliance
Operations & Logistics
Requirements
  • High School diploma
  • 1 years of experience
  • basic knowledge of EOB’s, CPT & ICD-9&10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals
  • strong knowledge of EPIC and HIPPA
Responsibilities
  • handle all in-depth research regarding patient’s self-pay, insurance and/or bad debt balances
  • effectively explains policies and procedures and refers each account for proper resolution
  • provides feedback to the department where the concern originated via the CU or Host system
  • review and Interpret Patient Statements, Balance and basic knowledge of Client Contractual Terms/Agreements (as needed)
  • obtain Supporting Documentation Regarding Patient/Client Follow-up Efforts
  • identify Contractual & Administrative Adjustments
  • assist & Resolve Patient Inquiries/Requests a 24-48 Hour Period
  • assist with special projects and other duties as assigned by your supervisor

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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