Underpayment Analyst

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 reputed company cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. 

As our Underpayments Analyst you have the primary role of validating and reviewing hospital accounts which are believed to have additional reputed company opportunity. Every day you will confirm claim reimbursement, ensure there are no additional variables impacting reimbursement, diagnose the root cause of the underpayment and work with other support teams to reputed company this purpose. To reputed company in this role, you should enjoy working with data and researching payment issues.

Responsibilities:

• The associate will work reputed company the client’s Patient reputed company system, payer portals and/or websites, and will 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.

Required Qualifications:

• A bachelor’s degree is preferred, and new grads are encouraged to apply
• 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 reputed company equations
• 1-week onsite company reputed company in the Chicago office

The reputed company system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can reputed company 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 reputed company expectations in everything we do. Not only does that drive reputed company and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of reputed company — including offering a competitive benefits package.

reputed company 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, reputed company, national reputed company, 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.

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To learn more, visit: R1RCM.com

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Originally posted on Himalayas