R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.As our Operations Associate I, you will help by working directly with our growing Workers’ Compensation Revenue Management (WCRM) team. WCRM partners with hospital clients to manage their workers’ compensation receivables from billing to final collection, including retrospective underpayment detection and recovery. In this role, you will join our operations team and work directly with workers’ compensation insurance companies to ensure our hospital clients get paid for the care they provide. Every day you will perform resolution analysis which includes reviewing and researching denials and underpayments, filing appeals, resolving payment disputes, and aspects of both internal and external reporting. To thrive in this role, you must achieve monthly goals and maintain a high level of client service. This is an excellent opportunity to work in a professional setting with a comprehensive in-house training program.Here’s what you will experience working as an Operations Associate I:· Resolve hospital bills with workers’ compensation insurance plans· Maintain timely and professional follow-up on open disputes, both over the phone and by written appeal· Understand and articulate billing, fee schedule, and contract details to interested parties to facilitate proper reimbursement· Address and respond to denials from insurance companies to ensure accurate payment of submitted bills· Closely examine contract language (and/or fee schedule information) and provide feedback to data modeling to facilitate proper pricing using our software platforms· Support algorithm research, development, and maintenance for the purpose of processing hospital data to recover revenue for clientsRequired Skills:· A bachelor's degree in healthcare administration, Business, or related field or High School diploma with 2+ years of experience in revenue cycle management, billing, or healthcare finance.For this US-based position, the base pay range is $15.00 - $22.64 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package. (http://go.r1rcm.com/benefits)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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)To learn more, visit: R1RCM.comVisit us on Facebook (https://www.facebook.com/R1RCM)R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally and is traded on the Nasdaq stock exchange under the symbol “RCM.”
