Note: The job is a remote job and is open to candidates in USA. R1 RCM hires an Underpayments Analyst to validate and review hospital accounts with potential additional revenue. The role researches payment issues, confirms reimbursement, identifies causes of underpayments, and supports resolution efforts.
Responsibilities
- The Validation Associate will work within the client’s Patient Accounting system, payer portals and/or websites, and will utilize R1’s proprietary software to research accounts in the work queue
- Review opportunities created, evaluate calculation of the expected reimbursement, determine if opportunity should be pursued with payer and the action required to resolve the underpayment
- Document the account to provide information and details to support appeal and resolution effort
- Diagnose and understand how the underpayment occurred and what our client could have done to prevent it
- Meet required benchmarks for production, accuracy, and efficiency
Skills
- A Bachelor's degree or a High School diploma with 2+ years' experience in hospital billing, resolution, revenue cycle, or data analytics
- Organized and analytical self-starter with strong critical thinking skills and attention to detail
- Strong communicator – verbal and written communication to give specifics and details to document work completed
- Strong math skills with emphasis on complex equations
- Proficient with computers and technology
Benefits
- 1-week onsite company-paid training in R1 office
- Eligible to participate in our annual bonus plan at a target of 5.00%
Company Overview