Company OverviewR1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. R1 is publicly-traded organization with employees throughout the US and international locations.Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patient’s and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.DescriptionAs the Reimbursement Specialist for R1's DRGV & CC service lines, your primary role will be to track and validate the solution’s financial benefit to clients. This in inclusive (when applicable to client) of performing rebill and follow-up for select payers and clients. The Reimbursement Specialist will report to the Reimbursement Manager. ResponsibilitiesOversee the monthly invoicing for multiple clients
Track payments and follow-up on outstanding accounts
Identify Client rebill and follow-up trends that may impact revenue
Generate client facing invoices (account level and summary)
Complete quarterly historical invoicing projects
If applicable, initiate corrected claim rebills and/or follow-up accounts into appropriate Client HIS work queues
If applicable, rebill and follow-up on Medicare DDE accounts
Attend and document Client HIS/EMR System Navigation Training
Monitor Client rebill performance via bi-weekly reconciliation and escalate timely delays/non-DRG payers/removals to the Associate managing the Client account
Manage client invoicing inquiries and work to resolve account discrepancies
Contribute to the development of invoicing methodologies and application tool enhancements
Develop summary guides on invoicing process for each Client
Contribute towards achievement of DRG-V and CC service line goals
Required Qualifications3+ years of experience in Revenue Cycle, HIM professional or hospital billing
2+ years of customer service experience
Proven experience in working with multiple HIS Systems (e.g., Epic, Cerner, Meditech, STAR)
Proven knowledge of Commercial, Government, and Managed Care insurance payers
HIPAA compliant certification and/or the ability to renew through training
HS diploma required, bachelor’s degree preferred
Desired QualificationsA strong attention to detail and organization skills
Creative problem-solving skills
Ability to maintain the highest levels of customer satisfaction and be service-oriented
Demonstrated ability to lead and influence others
Team-oriented and adaptable
Ability to build and maintain strong relationships, generating positive client feedback on quality, value, delivery, and results
Strong verbal and written communication skills
Proficiency with Microsoft Office, including basic to intermediate Excel functions
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: R1RCM.com . R1 RCM Inc. (“the Company”) is committed to the principles of equal employment opportunity. The Company’s practices and employment decisions, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is committed to providing a workplace free from harassment based on any of the foregoing protected categories. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package including:Comprehensive Medical, Dental, Vision & RX Coverage
Paid Time Off, Volunteer Time & Holidays
401K with Company Match
Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
Tuition Reimbursement
Parental Leave
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.To learn more, visit: R1RCM.comVisit us on Facebook (https://www.facebook.com/R1RCM)R1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1 is publicly-traded organization with employees throughout the US and international locations.Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
