Denials & AR Analyst I

R1 RCM; United States; Remote; USD 40,000 - 55,000; Full time

Job summary

A leading provider of technology-driven solutions is seeking a Denials & AR Analyst I to assist clients by analyzing claims and resolving complex accounts. The role involves conducting root cause analysis and crafting appeal letters for insurance denials. Ideal candidates will have experience in accounts receivable and a strong attention to detail, working within a supportive team environment.

Qualifications

• Experience in Denials or Accounts Receivable in hospital or physician claims.
• Familiarity with writing appeal letters to insurance companies.

Responsibilities

• Investigate and analyze claims to identify denial reasons.
• Create appeal letters to resolve issues and contact payers for updates.
• Document account updates received from payers.

Skills

Critical Thinking

Problem Solving

Attention to Detail

Education

High School Diploma or GED

Job description

Company Overview

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 combine the expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, including sophisticated analytics, AI, intelligent automation, and workflow orchestration.

Role Overview: Denials & AR Analyst I

As a Denials & AR Analyst I, you will assist R1 clients by analyzing claims information to resolve complex accounts. Your daily tasks will include conducting root cause analysis and crafting appeal letters to address insurance medical denials. Success in this role requires excelling in a metrics-driven environment, with strong critical thinking and problem-solving skills.

Minimum Experience & Skills

• Experience in Denials or Accounts Receivable (AR) in hospital or physician claims, and familiarity with working in a production environment.
• Experience in writing appeal letters to insurance companies.
• High School Diploma or GED.

Key Responsibilities

1. Investigate and analyze claims to identify denial reasons and create appeal letters to resolve issues. Contact payers for claim status updates, resubmissions, or payment information.

2. Utilize attention to detail to calculate expected claim reimbursement and document account updates received via email or phone from commercial or government payers.

3. Work within a supportive team environment, with mentorship to help achieve your career goals.