[Hiring] Denials Mitigation Lead @R1 RCM

Role Description

As our Denials Mitigation Lead, you will play a critical role in reducing claim denials and optimizing revenue cycle processes. Every day you will leverage data analytics to identify trends, perform root cause analysis, and develop strategies to mitigate denials. To thrive in this role, your expertise will guide the organization in improving financial performance and ensuring efficient claim processing.

• Extract relevant data reports from R1B1 and other systems to perform comprehensive data analysis.
• Analyze data trends to identify patterns and underlying issues contributing to claim denials.
• Conduct thorough root cause analysis to determine the factors leading to denials.
• Summarize findings in a clear and concise manner to communicate with stakeholders and inform decision-making.
• Build and manage detailed reporting to track denial trends, resolution efforts, and overall performance metrics.

Qualifications

• Proven experience in revenue cycle management, particularly in denial management.
• Strong analytical skills with the ability to interpret complex data sets.
• Proficiency in data analysis tools and software.
• Excellent communication and presentation skills.
• Ability to work collaboratively in a team environment.

Requirements

This US-based position has a base pay range of $49,126.27 - $81,225.49 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

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.