[Hiring] Revenue Cycle Analyst Underpayments @R1 RCM

Role Description

As our Underpayments Analyst you have the primary role of validating and reviewing hospital accounts which are believed to have additional revenue opportunity. Every day you will:

• Confirm claim reimbursement.
• Ensure there are no additional variables impacting reimbursement.
• Diagnose the root cause of the underpayment.
• Work with other support teams to achieve this purpose.

To thrive in this role, you should enjoy working with data and researching payment issues.

Responsibilities:

• Work within the client’s Patient Accounting system, payer portals and/or websites, and utilize R1’s proprietary software to research accounts in the work queue.
• Review opportunities created, evaluate calculation of the expected reimbursement, determine if opportunity should be pursued with payer and the action required to resolve the underpayment.
• Document the account to provide information and details to support appeal and resolution effort.
• Diagnose and understand how the underpayment occurred and what our client could have done to prevent it.
• Meet required benchmarks for production, accuracy, and efficiency.

Qualifications

• A Bachelor’s degree or a High School diploma with 2+ years' experience in hospital billing, resolution, revenue cycle, or data analytics.
• Organized and analytical self-starter with strong critical thinking skills and attention to detail.
• Strong communicator – verbal and written communication to give specifics and details to document work completed.
• Strong math skills with emphasis on complex equations.
• Proficient with computers and technology.

Requirements

• Multiple 1-week onsite company-paid training in R1 office.
• For this US-based position, the base pay range is $46,664.00 - $72,250.29 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

• Opportunity to constantly learn and collaborate across groups.
• Chance to contribute, think boldly, and create meaningful work.
• Competitive benefits package.