Denials & AR Operations Support I

R1 RCM; Southfield (MI); On-site; USD 23,129 - 28,902; Full time

Job summary

R1 RCM, a leading provider of technology-driven revenue cycle solutions, is hiring a Denials & AR Operations Support I in Michigan. The role supports the denials and AR department with data entry, document retrieval, and correspondence, while assisting with appeals to payors.

You will collaborate with clinical staff, navigate multiple portals to submit appeals, and rely on a production-based background plus experience in insurance verification and hospital registration to succeed.

Qualifications

• High school diploma or GED is required.
• Production-based background is preferred.
• Experience with insurance verification and hospital registration is desirable.

Responsibilities

• Identify and organize hospital documentation including UB-04s and EOBs.
• Meet weekly performance standards and goals.
• Coordinate with clinical departments and use provider systems to submit appeals.
• Finalize letters using the Appeal Finalization Process & Audit Tools.
• Handle data entry, document retrieval, and correspondence.

Skills

Data entry

Communication

Education

High school diploma or GED

Job description

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. As our Denials & AR Operations Support I, you will help the denials and AR department by providing high-level office support tasks, including data entry, document retrieval, and handling incoming and outgoing correspondence. You will finalize and submit appeals to the payor on behalf of clients. Every day, you will communicate with the clinical department and work within different portals to submit appeals. To thrive in this role, you must have a production-based background, and be experienced with insurance verification and hospital registration.

Here’s what you will experience working as a Denials & AR Operations Support I:

• 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.
• Meet all weekly performance standards and goals set by management.
• Maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files.
• Be able to read and analyze denial letters, UB-04 forms, 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.
• Utilize the appropriate shipping method for mailings depending on appeal deadline, recipient, and size of the item.
• Finalize all letters based on the Appeal Finalization Process & Audit Tools.

Required Skills

• High school diploma or GED

For this US-based position, the base pay range is $16.79 - $20.98 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. 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 To learn more, visit: R1RCM.com Visit us on Facebook