[Hiring] Analyst, Payer Accountability @R1 RCM Holdco Inc.
Mar 13, 2025 - R1 RCM Holdco Inc. is hiring a remote Analyst, Payer Accountability. đź’¸ Salary: $43,888.00 - $70,631.44 per year. đź“ŤLocation: USA.
Role Description
As our Analyst, Payer Accountability, you will help the Billing Department understand and navigate payer guidelines. Every day you will research and interpret contract terms and identify and escalate claim issues with payors and external or internal stakeholders.
- Understand and navigate payor guidelines (portals, manuals, contracts, etc.)
- Research and interpret contract terms along with compiling necessary supporting documentation to obtain resolution of outstanding AR.
- Identify and escalate claim issues with payors and external or internal stakeholders, when appropriate.
- Analyze data for identification and monitoring of payer trends, managed care / contract compliance, and operational processes specific to R1 and the respective client being serviced.
- Follow payer specific guidelines for escalated claim(s) submission.
- Work closely with leadership to optimize payer performance and resolve escalated issues efficiently.
- Collaborate with various departments/teams to handle escalated issues and prevent future escalations where possible.
- Provide feedback to global partners/clients, fellow associates, and other impacted departments, as applicable.
- Identify and review the root cause of escalation(s) to improve AR collections and escalation procedures.
- Support internal and external customers by responding to and managing complaints and escalations.
- Solve moderately complex problems and time sensitive inquiries.
- Decipher payer specific escalation files with payer responses and determine next steps for achieve resolution.
Qualifications
- Self-motivator with ability to work in remote environment with minimal supervision
- Analytical and problem solving/critical thinking skills
- Excellent working knowledge of Revenue Cycle Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors
- Proficient in Microsoft Office Suite (Word, Excel, and Outlook)
- Ability to implement process improvements based on the directives of leadership.
- Ability to multi-task and manage various demanding assignments that at times may conflict.
- Ability to independently troubleshoot system challenges for resolution.
- Proficient written and verbal communication skills
Requirements
For this US-based position, the base pay range is $43,888.00 - $70,631.44 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 5.00%.
Benefits
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.
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| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
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Salary
đź’¸
$43,888.00 - $70,631.44 per year
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 13, 2025
|
| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
