Billing Specialist

Billing Specialist

31 Dec 2023
Illinois, Chicago, 60601 Chicago USA

Billing Specialist

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.

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