Denials & AR Operations Support I - R1 RCM
Detroit, MI
About the Job
R1 RCM Inc. 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 a 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.
The Operations Support I will be responsible for responsible for providing high level office support to copying, scanning, filing, data entry, document retrieval and handling incoming and outgoing correspondence.
Responsibilities :
+ Be able to identify different types of hospital documentation including, but not limited to, UB-04s, denial/approval letters, EOBs, Hospital account notes, medical records, itemized bills, and Hospital appeal letters.
+ Perform general office duties such as typing, scanning, operating office machines, and sorting documentation.
+ Ensure professional and HIPAA compliant documentation practices
+ Maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files.
+ Be able to read UB-04 claim forms.
+ Be able to read and analyze denial letters, account notes and remits to determine denial information.
+ Utilize clinical guidance on compiling medical records.
+ Identify and communicate appeal deadlines timely through knowledge of insurer timeframes.
+ Update Quantum Appeals to ensure contacts/tasks are closed upon receipt of information requested and received, including identifying required documentation if incomplete and returning to appropriate person
+ Meet all weekly performance standards and goals set by management.
+ Address all follow ups promptly.
+ Alerts/99s must be addressed within a day of receipt.
+ Tasks/Contacts should never be more than 5 days old.
+ Handle rush and high balance cases in accordance with office policy.
+ Receptionist back up coverage – phone and front desk, if applicable
Required Qualifications :
+ Associates or technical degree; or one to two years related experience and/or training; or equivalent combination of education and experience.
For this US-based position, the base pay range is $15.73 - $19.66 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.com
Visit 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.”
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.
The Operations Support I will be responsible for responsible for providing high level office support to copying, scanning, filing, data entry, document retrieval and handling incoming and outgoing correspondence.
Responsibilities :
+ Be able to identify different types of hospital documentation including, but not limited to, UB-04s, denial/approval letters, EOBs, Hospital account notes, medical records, itemized bills, and Hospital appeal letters.
+ Perform general office duties such as typing, scanning, operating office machines, and sorting documentation.
+ Ensure professional and HIPAA compliant documentation practices
+ Maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files.
+ Be able to read UB-04 claim forms.
+ Be able to read and analyze denial letters, account notes and remits to determine denial information.
+ Utilize clinical guidance on compiling medical records.
+ Identify and communicate appeal deadlines timely through knowledge of insurer timeframes.
+ Update Quantum Appeals to ensure contacts/tasks are closed upon receipt of information requested and received, including identifying required documentation if incomplete and returning to appropriate person
+ Meet all weekly performance standards and goals set by management.
+ Address all follow ups promptly.
+ Alerts/99s must be addressed within a day of receipt.
+ Tasks/Contacts should never be more than 5 days old.
+ Handle rush and high balance cases in accordance with office policy.
+ Receptionist back up coverage – phone and front desk, if applicable
Required Qualifications :
+ Associates or technical degree; or one to two years related experience and/or training; or equivalent combination of education and experience.
For this US-based position, the base pay range is $15.73 - $19.66 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.com
Visit 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.”
Source : R1 RCM
